Sports Physical Registration

Please fill out the following form to register for your child's sports physical registration.

First Name

Last Name

Email Address

Address

Date of Birth

Phone Number

Enter your race/ethnicity below:

Which date and location are you registering your child for?

June 29th @ Uplift Mighty (3700 Mighty Mite Drive Fort Worth, TX 76105) from 2 PM-5 PM

July 5th @ Uplift Wisdom (301 W. Camp Wisdom Road, Dallas TX 75232) from 9 AM-12 PM

July 9th @ Uplift Summit (1305 N. Center Street, Arlington TX 760111) from 9 AM-12 PM

July 13th @ Uplift Atlas (4600 Bryan Street, Dallas TX 75204) from 2 PM-5 PM

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

469-202-7572

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