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Participant Information

Participant First Name:

Participant Last Name

Address 1

City

State/Prov.

Zip

Email Address

Cell Phone (xxx-xxx-xxxx)

Participant's Gender?

Grade level as of Fall 2025

Participant's School

Are you a returned A.C.E.S. student?

Shirt Size

Parent/Guardian First Name:

Parent/Guardian Last Name

Parent/Legal Guardian Email Address

Parent/Legal Guardian Cell Phone (xxx-xxx-xxxx) :

First Name:

Last Name

Home Phone (xxx-xxx-xxxx): Use N/A if none.

Cell Phone(xxx-xxx-xxxx) :Use N/A if none.

Work Phone (xxx-xxx-xxxx): Use N/A if none.

Is the Participant 18 or older?

The Parent/Guardian must read and check the box for each of the policies below, indicating their agreement with each one.

I agree to Logan's Release And Agreement To Rules.
I agree to Logan's Emergency Medical Authorization.
I agree to Logan's Confidentiality Statement.
I agree to Logan's Photo and Media Release.

The Participant must read and check the box for each of the policies below, indicating their agreement with each one.

I agree to Logan's Safety In the Laboratory.
I agree to Logan's Confidentiality Statement.

Amount Paid (*Please enter same amount on payment page)

Registration fee of $100 is required at the time of registration.

Must be paid-in-full ($795) before the class starts.

Name on Credit/Debit Card