Youth Sports Registration Form

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

        Email

          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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