Pro Watercross Membership Form
Athlete Information:
E-Mail:*
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Country
Phone Number:*
Date of Birth (DOB)*
 
Emergency Contact:*
Emergency Contact Phone Number:*
Do you have a medical condition that you would like us to be aware of?
Emergency Medical Information
Previous Membership # if applicable:
Click here if the member under the age of 18?
Parent #1 Name:
Parent #1 Phone Number:
Parent #2 Name:
Parent #2 Phone Number:
PLEASE NOTE: Anyone under the age of 18 years old must provide a copy of their birth certificate at registration/check-in or email to info@prowatercross.com

Anyone under the age of 18 years old must have a parent or legal guardian present at the time of registration/check-in to sign minor release waiver. This cannot be a friend or other family member, it must be the parent or legal guardian.
Upload Minor Birth Certificate
 
Pro Watercross Membership Release Waiver of Liability
I have read and understand the Release and Waiver for Pro Watercross Events**
ANNUAL MEMBERSHIP*
Select a Division - ONLY ONE DIVISION IS REQUIRED
Primary Division*
Division Selection #2
Division Selection #3
Division Selection #4
Pro Watercross T-shirt Size:
T-shirt Size*
 T-shirts will only be shipped within the continental USA
Membership Total
Grand Total:
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