SYC Online Registration
You are registering for the After School Program. Sports registrations can be found on our athletics program page http://tshq.bluesombrero.com/Default.aspx?tabid=1419179
Child's Name *
First and Last Name (one child per form)
Your answer
Birth Date *
Your answer
Grade *
Your answer
Sex *
Parent/Guardian Name *
Your answer
Phone # *
Your answer
Work Phone Number *
Your answer
Email *
Your answer
Father's Cell Number *
Your answer
Mother's Cell Number *
Your answer
Address *
Your answer
City *
Your answer
Zip *
Your answer
Mailing address if different *
Your answer
Emergency Contact *
Your answer
Relationship *
Your answer
Phone Number *
Your answer
Special Needs or Allergies
Your answer
After School Program Pick-Up
Please list all others who have permission to pick up your child
Your answer
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.
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