Free Youth Sports Registration Form

Please complete this form to register your child for our youth sports program.
Participant Information
Name
Date of Birth
Gender
Male
Female
Phone Number
Parent/Guardian Information
Parent/Guardian Name
Relationship to Child
Emergency Contact Name
Emergency Contact Number
Sports Program Details
Sport(s) Interested In
Soccer
Basketball
Baseball
Tennis
Swimming
Volleyball
Experience Level
Health Information
Does your child have any pre-existing medical conditions?
If yes, please specify:
Any allergies or special needs we should be aware of?
If yes, please specify:
Does your child currently take any medication?
If yes, please specify:
Waiver & Consent
I hereby consent to my child’s participation in the Youth Sports Program organized by [Your Company Name]. I understand that sports activities carry risks, and I release [Your Company Name] from any liability in case of injury. In the event of an emergency, I authorize [Your Company Name] to seek medical treatment for my child.
Parent/Guardian Signature
Name:
Date:
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