CBM Athletics-Summer Strength and Conditioning Registration and Student Athlete Information Form
Please answer the questions below so we have updated contact information and general information about your child as we begin our work together.
Child's Last Name *
Child's First Name *
Child's Grade Level *
Child's Age as of 7/1/21 *
My child needs to focus on (select all that apply). *
Required
My child plays the following sports (select all that apply). *
Required
I would like to sign my child up for the following session(s), beginning the week of July 1. *
Required
Please list any allergies that your child may have and the reaction that occurs. *
Parent/Guardian Last Name *
Parent/Guardian First Name *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
Second Parent/Guardian Last Name
Second Parent/Guardian First Name
Second Parent/Guardian Email Address
Second Parent/Guardian Phone Number
Emergency Contact Information (please include the first name, last name and phone number of two adults that can be contacted in case of emergency) *
If there is anyone that is not allowed to pick up your child from our session, please indicate their name here.
I agree to print out the liability waiver that has been emailed to me, sign it and bring it to the first training session. *
I am aware that I will be responsible for paying $25 for my child to attend each session. The fee is due on the day of the session and can be paid in cash or Venmo to Beth-McCoy-26. *
If I do not send CBM Athletics an email, I understand that my child's photo may be included on the website or Facebook page.
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