SYC Online Registration
You are registering for the After School Program. Sports registrations can be found on our athletics program page
Child's Name *
First and Last Name (one child per form)
Birth Date *
Grade *
Sex *
Parent/Guardian Name *
Phone # *
Work Phone Number *
Email *
Father's Cell Number *
Mother's Cell Number *
Address *
City *
Zip *
Mailing address if different *
Emergency Contact *
Relationship *
Phone Number *
Special Needs or Allergies
After School Program Pick-Up
Please list all others who have permission to pick up your child
Membership *
Membership must be paid before attending any SYC programs.
By pressing submit button below:
I/We the parents/guardian of the above applicant for membership in the SYC hereby give my/our consent to his/her being given a physical exam or emergency treatment by a physician or hospital in case of emergency, and to his/her participation - including transportation - to and from the activity. We do hereby release, absolve, indemnify and agree to hold harmless the SYC, the organizers, sponsors, supervisors, participants, and persons transporting my/our child to and from activities from any claim arising out of injury to my/our child whether the result of negligence or any other cause. I/We further authorize the above named child for pictures and video which may be used in club publicity. SYC does not sanction or approve of club volunteers participating with youth members outside the control of club professional staff.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.