Fargo Force Game

Family Sign-Up

Name

Number of people in family attending?

Email for Event Reminder

This address will receive a confirmation email

Phone

Individual Youth Sign-Up

Youth Name

Email for Event Reminders

This address will receive a confirmation email

Emergency Contact Name

Emergency Contact Number

I give permission for my youth to be transported by an FLC staff member. Yes No

By electronic signing below, you are giving permission for your youth to attend this event. *Electronic Signature

Payment ($12 per person)

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

January 17th @7:05 Fargo Force vs Sioux City Musketeers

Please note for individual youth, your YFM Dir. will reach out about transportation closer to the event date.