Sports
& Instructional Class Contract
Please print this form, fill out the
necessary information, and bring this completed
form
to the youth center office when you register your children for sports and/or
classes.
PLEASE PRINT
CLEARLY
CHILD’S NAME: ______________________________DOB:
____________Age ______
Activity
__________________ Date_______
Activity ______________ Date______
Activity
__________________ Date_______
Activity ______________ Date ______
Activity
__________________ Date_______
Activity ______________ Date ______
CHILD’S NAME:
_______________________________DOB: ___________Age _______
Activity
__________________ Date_______
Activity ______________ Date______
Activity
__________________ Date_______
Activity ______________ Date ______
Activity
__________________ Date_______
Activity ______________ Date ______
CHILD’S NAME:
_______________________________DOB: ___________Age _______
Activity
__________________ Date_______
Activity ______________ Date______
Activity
__________________ Date_______
Activity ______________ Date ______
Activity
__________________ Date_______
Activity ______________ Date ______
Military/DOD
Sponsor ____________________________________
Last Name, First Name
SPECIAL NEEDS/MEDICAL CONDITIONS: Please
provide all allergies, special needs or medical conditions that
will assist in providing
proper care for your child I.E. ADD, ADHD, ASTHMA _________________________________
The following are important program requirements, please initial on the
line to the left of each number
indicating that you have read and understand each statement.
____
1. Mutual
Contract Obligations: Class/Sports
payments are collected for a participant to have a
slot in a class or sport. There is no
REFUND or CREDIT given if a child does not physically attend a
regularly scheduled class or sport.
Missed classes or sport due to family commitments or similar
circumstances will not be refunded.
Refund requests will be accepted with proper documentation for injury, or
emergency leave lasting 2
weeks or more when accompanied with a doctor’s statement or emergency leave
orders.
____
2. All
students 6 years and older must
be members of the
instructional classes and sports. This
is a yearly fee.
____
3. Class/Sport
Fees: Class fees must be paid in
full the week prior to the first
class.
Class
could be cancelled if payments are not made before the class start date, this
shows us
how many are in class and if there is space available.
Sports fees must be paid during
registration period. Students cannot
participate until payment is made.
____
4. Cancellation
Notification: Class sizes and
dates are limited. Instructor’s
contracts state a
minimum of 5 students per class, classes will be canceled if the minimum is not
met.
Please, ensure you pay the week before
the class starts.
____
5. Class
Frequency: Instructor contracts
vary, but generally classes are taught 4 – 8 times
per month and/or session. All
instructional classes are offered in 4, 6, or 8 week sessions.
Your child is not automatically in the next session, you must pay prior to the
start of the
class to hold your spot.
SPORTS practices
and games are usually 1 each during a week for the duration of the season.
____
6.Make-up Instructional classes: Make up classes will be held for classes that
are cancelled
due to the fault of the instructor,
natural causes, or facility closure.
Make up classes will be
scheduled the week after the last week of current session at the regularly
scheduled class day
and time, unless the instructor tells you otherwise.
____
7. Snow
Day Policy: IF District 20
cancels school, MORNING classes will be canceled and
make-up will be held week 9 of the current session. EVENING classes and Games or practices
will be canceled unless you hear from the instructor, coach or the
before class, practice or game. Please
check your messages on these days or call the instructor,
coach or
class will be held as scheduled. Please
assure that the phone numbers and e-mail listed is
accurate. If the base is closed, the
____
8. Permission
and Approval: I give my
permission and approval for the above named child to
participate in the program. I assume all
risks and hazards incidental to such participation.
Parents should make their children aware of the possibility of injury and
encourage their children
to follow all the safety rules and the instructor’s instructions. USAFA Youth Programs, its
instructors, coaches and other staff members, will not accept responsibility
for injuries
sustained by any student during the course of gymnastics, tumbling, cheerleading;
dance,
driver’s education, art, karate and any other instructional course offered and all
Sports programs.
With the above in mind, and being fully aware of the risks and possibilities of
injury involved,
I consent to have my child participate in the programs offered by the
____ 10. Loss of Privileges: I/We further understand that any adverse
behavior on the part of
our child or ourselves will result in the suspension of our privileges from
this program.
A signed copy of the Parent Code of Ethics will be maintained in your household
folder.
Parent/Guardian
Signature: ______________________ Date_______________
Clerk’s
Signature _____________________________ Date
_______________
PRIVACY
ACT STATEMENT AUTHORITY: Title 10
Section 8012. PRINCIPAL PURPOSES: To register youth for classes
in Youth Programs. ROUTINE USES: Information is helpful in designing youth
appropriate programs. It identifies
individuals in the program, provides special interest and skills, annual fees
record, and parent consent to participate
in the program. WHATEVER DISCLOSURE IS
MANDATORY OR VOLUNTARY AND EFFECT ON INDIVIDUAL
OF NOT PROVIDING INFORMATION: The class
contract must be completed in order for youth to participate
in instructional classes.
