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2. City of Crestview 2023 Skate Jam Registration Form

   Date & Time: Saturday, September 30 

   11 AM - 2 PM

   There is no fee for registration.

4. Location: Eglin Federal Credit Union Skate Park

   581 Brookmeade Dr., Crestview, FL 32539

6. *Helmets are mandatory. *Participants must be fully clothed.
8. Participant's Name*
9. Participant's Age*
11. Participant's Street Address*
13. T-Shirt Size*

    1. Small
    2. Medium
    3. Large
    4. X-Large
    5. 2X-Large
    6. 3X-Large
15. City*
16. State*
17. Zip*
19. Email*
21. Phone Number*
23. Event*

    Please select the event/events you plan to participate in.

    Events will be broken into age groups as follows:

    Minis: Ages 0-6

    Beginners: Ages 7-14

    Juniors: Ages 15+

    Advanced: Ages 35+

    1. Best Box Trick

    1. Best Quarterpipe Trick

    1. Best Line in 60 Seconds
25. Parent/ Guardian Consent ( Required for Ages 17 and Under)

    I consent to allow my child to participate in the City of Crestview 2023 Skate Jam. 

27. E-Signature*
28. Date
    Date
30. For minors, parental consent is required.

    Parent's please upload a copy of your state issued ID.  

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

* indicates a required field