NSDT Summer Season 2017
Welcome to the Northside Youth Program Summer Season 2017. Please complete the following membership form. Please feel free to contact DarNesha Weary at darnesha@northsideyouthprogram.org.

Practices are Tues & Thurs 6pm-8pm in North Seattle
Practices will run from Tuesday May 16th- Thursday August 31st
The first parade will be on Saturday July 1st
Drill team season is open both girls and boys ages 5-18
No experience is required!
Registration is $100.00 and includes a Tshirt
Uniform fee's are additional

**Current members don't need to register **

Primary Contact Name (Last, First)
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Relationship to child *
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Please add me to the cell phone text group *
Member Last Name *
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Member First Name *
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Member Date of birth *
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Primary Email Address *
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Primiary Contact Phone Number *
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Primary Contact Cell Phone
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Emergency Contact Name (Last, First) *
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Emergency Contact Phone Number *
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Please List Participant’s Allergies and Reaction: *
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Participant’s Medical Conditions: *
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Name of Participant’s Physician and Phone
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I am aware of the nature of this activity and I hereby assume responsibility for my child to participate and to be photographed for publicity purposes. I will not hold Northside Youth Program/Northside Drill Team and/or its employees, volunteers, or members responsible in the case of accident or injury as a result of this participation. I understand that this completed form must be in the possession of the Northside Youth Program prior to participation in this program. *
2017 NSDT CODE OF CONDUCT We Will be respectful to one another, coaches and opposing teams Will never E-mail, Text message, Facebook, My Space, Twitter, or use any other social media topost negative comments about a fellow member, coach of NSDT Will be at all practices/performances and if for any reason you are not able to attend you must contact your coach Will be dressed in the complete uniform for performances Will show positive attitude at all times. *
I hereby acknowledge receipt and have read/ understand the rules of the NSDT Code of Conduct. I will help my daughter/son follow all the rules listed above and I understand my child’s active participation in the c program is contingent upon our (parent and member) adherence to the mentioned policies noted above. *
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