AthleteName                                                              Email                                                  

HighSchool                                                                    Phone                                                

       Code ofConduct

       Release ofLiability

       Contact List/Use ofLikeness

I am already a current Club NorthwestMember:

         Yes (we willconfirm)

         No, Please sign meup

I already have a current USATFNumber

         Yes, itis                                   

         No, Please signme up I am paying

         Registration

         Club Northwest SingleMembership

         USATFMembership

         All-Comers SeasonPass

         Club Northwest Family Membership. List Names of Household Members – Up to5Names1)                                                                                                

2)                                                                                                            

3)                                                                                                            

4)                                                                                                            

5)                                                                                                             In                    Cash                        Check#                     

Please do not include cost of apparel inpayment

For Official Use Only: PaymentReceived             

CNWEntered              

USATFEntered             USATFNumber                                                         HSEDatabase                

 

Uniforms: (circle size) M                    F          

 

MaleTop

XS

S

M

L

XL

Male CompressionShort

XS

S

M

L

XL

FemaleTop

XS

S

M

L

XL

Female CompressionShort

XS

S

M

L

XL

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