Buddy Status *

Please choose one.

I'm new! This will be my first season

I'm a returning CCNJML Buddy

Buddy's Name *

First Name

Last Name

I am 18 years or older *

Yes

No

If no, I am signing as the Parent/Guardian

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Emergency Contact *

First Name

Last Name

Emergency Contact's # *

(###)

###

####

I Have Read the Volunteer Release Form *

Yes

Digital Signature *

I have read and accepted the rules, regulations, and volunteer release information provided in this digital registration form.

First Name

Last Name