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KIDS IN SPORTS
Arlington Steelers Youth Sports Association
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2024 Fall Steelers Cheerleading
*
Participant:
*
Birth Date:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
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22
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31
1950
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1995
1996
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1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
*
Age as of Aug 1, 2024:
5
6
7
8
9
10
11
12
13
14
*
Contact Number:
Email address:
Years of Experience Playing:
0
1
2
3
4
5
AMYSA / A&M STEELERS MEDICAL RELEASE / LIABILITY WAIVER
As Parent / Guardian of the above mentioned child. I hereby give my approval for participation in any and all "Arlington Mansfield Youth Sports Association" (herein called the AMYSA) activities during the 2024 season.
I hereby waive, release, indemnify, and agree to forever hold harmless the A&M Steelers: Sponsors, Directors, Coaches. Participants and other AMYSA officials from responsibility including but not limited to my child, and/ or myself, while participating in any and all A&M Steelers activities. Furthermore, I will inform any guest and/ or family that they are entering any and all A&M Steelers events at their own risk.
I give my permission for the AMYSA Steelers Y.S.A and their designated officials to seek such medical assistance as required in the event of injury to my child while participating in any AMYSA activity. I will provide a copy of my Child's Birth certificate and a current photograph to the AMYSA Steelers for identification and insurance purposes prior to the season commencing. The parent / guardian (s) of the child must sign agree to this form.
The AMYSA Steelers is a non profit entity and there is a no refund policy.
Each child must complete the program to receive an award at the end of the season.
Yes, I adhere to this statement
* indicates required fields