YAC Registration Form

My Products

YAC Flag Football League / Winter1st-8th grade

$185.00 Quantity

Flag Football Clinic1st - 8th grade

$20.00 Number of Sessions

YAC Cheer Academy5-11 years of age. 6 Week Session

$150.00 Quantity

Tumbling4 classes (1 x per month) $85.00

$85.00 Quantity

Basketball TrainingAges 9-13 4 sessions - $80.00 8 sessions - $160.00

$80.00 Quantity

YAC Academy: Training8-12 years

$99.00 Number of Sessions

YAC Elite Training 13 years and up

$99.00 Number of Sessions

YAC Elite: Personal Training

$60.00 Quantity

Total

$0.00

Are you new to YAC?

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How did you hear about us?*

Parent's Name

First Name Last Name

Parent's Email

example@example.com

Parent's Phone Number

Area Code Phone Number

Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Student's Name

First Name Last Name

Date of Birth*

School Name*

Grade *

Shirt Size*

Student's Name

First Name Last Name

Date of Birth

Grade

School Name

Shirt Size

Student's Name

First Name Last Name

Date of Birth

Grade

MEDIA RELEASE

I recognize and acknowledge that the YAC Foundation may record my child’s participation and appearance in ACTIVITY on any recorded medium (including, but not limited to video, audio, photos) for use in any form. I authorize such recording and release YAC Foundation to use my child’s name, likeness, voice, and biographical material to exhibit or distribute such recordings in whole or part without restrictions or limitations for any educational or promotional purpose.

RELEASE OF LIABILITY

As parent/guardian of the above student, I hereby agree to release and exempt YAC Foundation, YAC Sports, Camarillo High School, City of Camarillo, Good Shepherd Church, Moorpark College, Oxnard Union School District and any other agencies its officers, agents, employees or representatives from any and all claims, demands, or causes of action whatsoever, including all cost and legal expenses incurred, if any, arising out of any damage, loss or injury resulting from or concurrent with an activity on the premises, or which may result from a condition created or maintained on the premises. Due to Covid-19 YAC is following all protocols and preparedness plans for business, including social distancing, sanitizing of equipment and surfaces, providing temperature readings and sanitation stations to ensure safety of all staff and members. By allowing your child to participate in any activities you are agreeing to adhere to all rules and regulations set forth. I hereby certify that the above information is correct.

School Name

Shirt Size

I Agree to the above terms and conditions*

I Agree

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