SayPro Registration Form Template A simple form for gathering participant information

SayPro Registration Form Template

Below is a simple SayPro Registration Form Template for gathering participant information. This form can be adapted for both online or paper submissions, depending on your needs.

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SayPro Extreme Sports Camp Registration Form

Participant Information
Please fill in the details below to register for the SayPro Extreme Sports Camp.

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1. Full Name:
   (First, Last)
2. Date of Birth:
   (MM/DD/YYYY)
3. Gender:
   ☐ Male ☐ Female ☐ Non-binary ☐ Prefer not to say ☐ Other: __________
4. Address:
   Street Address City State/Province Postal Code Country
5. Phone Number:
   (Mobile or Home)
6. Email Address:

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Emergency Contact Information

7. Emergency Contact Name:
8. Emergency Contact Relationship:
   e.g., Parent, Spouse, Friend
9. Emergency Contact Phone Number:

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Health and Fitness Information

10. Do you have any current medical conditions or restrictions we should be aware of?
    (e.g., heart conditions, asthma, allergies, etc.)
    ☐ Yes ☐ No
    If yes, please provide details:

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11. Are you currently taking any medications?
    ☐ Yes ☐ No
    If yes, please list them:

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12. Do you have any previous experience with extreme sports (e.g., bungee jumping, skydiving, zip-lining)?
    ☐ Yes ☐ No
    If yes, please describe:

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13. How would you rate your overall fitness level?
    ☐ Beginner ☐ Intermediate ☐ Advanced

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Camp Preferences

14. Which activities are you most excited to participate in?
    ☐ Bungee Jumping
    ☐ Skydiving
    ☐ Zip-lining
    ☐ All of the above
    ☐ Other: _______________________
15. Do you have any fears or concerns about participating in extreme sports?
    ☐ Yes ☐ No
    If yes, please explain:

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16. What do you hope to achieve during the camp?
    (e.g., overcoming fear, building confidence, physical challenge, etc.)

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Liability and Consent

17. Liability Waiver
    I understand that the activities in the SayPro Extreme Sports Camp involve inherent risks. By signing this form, I acknowledge these risks and consent to participate.
    ☐ I Agree
18. Photo and Video Release
    I consent to the use of my photos and videos taken during the camp for promotional purposes.
    ☐ I Agree ☐ I Do Not Agree

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Payment Information

19. Camp Fee:
    Please select your preferred payment method.
    ☐ Credit/Debit Card ☐ Bank Transfer ☐ PayPal

Total Amount: _______________
Payment Due Date: _______________

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Signature

20. Participant Signature:
    (By signing below, you confirm the accuracy of the information provided and agree to the terms and conditions.)

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Signature

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Date

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For Office Use Only:

• Registration Number: _______________
• Payment Status: ☐ Paid ☐ Pending
• Camp Session Assigned: _______________

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This registration form template provides a straightforward way to gather essential information from participants, ensuring that you have everything you need to prepare for a safe and engaging extreme sports experience.