Your registration for Sir Sam’s starts here — simply complete and send the following form.

At this time, we are only collecting registrations. In early January, we will assess whether the conditions are safe to start the series and contact all registrants at that time to confirm attendance and make payment details

Note, please complete separate forms for each participant.

Name*
First Last
Parent/Guardian Name (if under 18)
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Date of Birth*
Date Format: YYYY slash MM slash DD

yyyy/mm/dd
Gender*
Discipline*
Age Category*
Age Category*
Please note, all participants, or their parent/guardian, will be required to sign a waiver of liability prior to competing.
Email
This field is for validation purposes and should be left unchanged.

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