Please Complete the form for each individual you are enrolling to participate in D3

  • D3 Hartford Yard Goats

  • Date: TBD, 2019

  • Check-in/Registration: 9:45am

  • Lunch: 12:30pm

  • Location: Dunkin' Donuts Park Space is limited.

    Sign up early to ensure enrollment. There is no cost to D3 participants and their families. Lunch is provided for all participants, their family members, and caregivers. D3 Participants, their immediate family members, and caregivers will receive free tickets for a Hartford Yard Goats game.

Please enroll each participant separately.

Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Phone *
Parent/Guardian Phone
D3 Participant Name
D3 Participant Name
D3 Participant Birth Date
D3 Participant Birth Date
D3 Participant Tee Shirt *
D3 Participant Tee Shirt
Address
Address