36th Force Support Squadron

PLEASE NOTE:
- ALL fields must be filled in. Enter N/A for non-applicable items.
- This form cannot be submitted online at this time. Please print it out and bring it to the Youth Center to register in person. Thank you!

Last Name:

First Name:

MI:

Gender:

Sport:

Seasons Experience:

Birthdate (mm/dd/yy):

Height:

Weight:

Special Needs Care / Illness / Allergies / Injuries:

Practice Preference Days (Not Guaranteed):
Mon/Wed:

Tue/Thu:

No Preference:

Siblings Enrolled in Sport (Name and Age):

Sponsor Information

Last Name:

First Name:

Rank:

Work Email:

Home Email:

Address:

City:

State:

Zip:

Branch / Organization:

Work Phone:

Home Phone:

Cell Phone:

Are you willing to coach?

Spouse Information

Last Name:

First Name:

Rank:

Cell Phone:

Work Phone:

Email:

Emergency Contact Information

Last Name:

First Name:

Emergency Contact Phone:

Liability Waiver / Release
(Read carefully and initial each line)

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 including transportation to and from scheduled activities. I hereby waive and release the USAF organizer supervisors and persons transporting the child to and from activities for any claim out of any injury to my child.

I 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.

As a parent, I assume all responsibility for equipment used by my child. I agree to return the same equipment at the end of the playing season.

REFUNDS: A Surcharge will be assessed in the following manner:

• Before Teams Are Formed: $5 admin fee will be charged

• After the First Practice: The cost of the uniform plus a $5 admin fee will be charged.

• After First Game, Regardless of whether child has played: No refunds will be issued.

Parents' Code of Ethics
(Read carefully and initial each line)

I will practice good sportsmanship by encouraging positive support for all players, coaches and officials at every game, practice, or other youth sports event.

I will place the emotional and physical well being of my child ahead of a personal desire to win.

I will insist that my child play in a safe and healthy environment.

I will support coaches and officials working with my child, in order to encourage a positive and enjoyable experience for all.

I will demand a sports environment for my child that is free of drugs, tobacco and alcohol and will refrain from the use of such substance during attendance or participation in any Youth Programs event.

I will remember that the game is for youth participants; and as an adult, my role is to be a supportive parent promoting a positive, healthy environment for all youth.

I will do my very best to make youth sports fun for my child.

I will ask my child to treat other players, coaches, fans and officials with respect regardless of race, sex, creed or ability.

I promise to help my child enjoy the youth sports experience by doing whatever I can, such as being a respectful fan, assisting with coaching, or providing transportation.

I will require that my child’s coach be trained in the responsibilities of being a youth sports coach and that the coach upholds the Coaches’ Code of Ethics.

Fit Factor (Ages 6-18)

I give my permission and approval to enroll my child in the Fit Factor Program. Note: Password and user name will be emailed to you.

Yes: No:

Finalize Registration

I verify that the above information is true and accurate and I understand that the registration process is not complete until I have made payment.

Date (mm/dd/yy):

AF Youth Programs

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