Halifax Youth and Recreation After School Sports Registration
Please complete and submit this form in order to register your child for After-School Sports. Please send in payment to the school by form of check, made out to the Town of Halifax, prior to the session starting.
1 child - $40/session. Prepay for all sessions (8th session free) - $280
2 children - $65/session. Prepay for all session (8th session free) - $455
3 children or more - $85/session. Prepay for all sessions (8th session free) - $595
Session 1: September 10 - October 3
Session 2: October 8 - November 1
Session 3: November 6 - December 5
Session 4: December 10 - January 17
Session 5: January 21 - February 13
Session 6: February 25 - March 20
Session 7: March 24 - April 16
Session 8: April 28 - May 21
Session 9: TBD
Health Conditions (medications, allergies, etc.)
Emergency Contact Name
Emergency Contact Phone Number
Does your child attend the YMCA program on the day that his/her group meets?
Parent Carpool: Please list the names of all individuals that you authorize to pick up your child. Any individuals not listed will need permission with a note. (Proper identification will be required.)
Please re-type the following statement and write your name at the end: I give (student's name) permission to be dismissed to the gym lobby on (list days).
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This form was created inside of Silver Lake Regional School District.