2020 Jr. Curling
This form serves as a release to participate or parental consent form. PAYMENT ON THE SEPARATE YMCA SYSTEM MUST ALSO TAKE PLACE FOR PARTICIPATION TO BE ALLOWED.

For all program scheduling questions, please see our website at bit.ly/SuperiorSports OR contact the Curling Club directly for more information.
Which session do you plan to join?
LAST name of child *
Your answer
FIRST name of child *
Your answer
Child's AGE as of November 2, 2019? *
Has your child ever curled in the past? *
PARENT(s) name(s) *
Your answer
EMAIL of parent *
Your answer
Mailing/Street Address *
Your answer
Phone Number *
Your answer
I hereby give my permission and approval for the above-named child to participate in all Youth Basketball activities during the 2020 season. I assume all risks and hazards incidental to such participation, and I release the YMCA, supervisors, and coaches from any claim arising from an incident or injury to my child. I also understand that the my child's photo might be used for future promotional efforts and if I object, I must communicate these wishes in an email or in writing to Jon Reimer, the YMCA's Activities Director. By answering this question, this will serve as my digital signature. *
Have you already PAID the $30 participation fee on the YMCA payment system? *
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