Anchor Bay Summer Recreation 2024
Event Timing: June 10-14 and/or June 24-28
Event Address: Anchor Bay Middle School South
Contact us at:  mgreenwold@abs.misd.net
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Child's Name *
What school does your child attend? *
What grade is your child going into? *
Parent's Name *
Parent's Cell Phone Number *
Parent's email *
Emergency Contact  *
Emergency Contact Relationship to child *
Emergency Contact Phone Number *
Please list any other adults other than parents that have permission to pick your child up at the end of the program. This is extremely important. Children will not be dismissed to anyone who is not on this list without parent contact first. *
What weeks will you attend? *
Required
Are there any allergies that we should be aware of? Will your child be bringing an inhaler, epi-pen or any other medication? Are there any conditions that we should be aware of (ADHD, seizures, etc.) This is a good spot to also fill us in with anything you would like us to know about your child. We want to make it a great experience for them. *
I understand that payment must be submitted to complete registration. Select how you plan to pay below.
All checks must be made out to After-School Sports. Envelopes should be clearly marked "Summer Recreation"
 *
Required
If paying venmo, please provide username (ie: @afterschoolsports) *
Billing Policies

Any changes or cancellations must be submitted in writing to mgreenwold@abs.misd.net
Balanced must be paid in full at the time of registration.
Refunds will only be given up until May 6th.
Checks must made out to After-School Sports
If an enrollment is cancelled due to behavioral issues, After-School Sports LLC reserves the right to retain fees for the program.  
 *
Required

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared After-School Sports LLC during the selected program. In exchange for the acceptance of said child’s candidacy, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless After-School Sports LLC and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected sessions.

In case of injury to said child, I hereby waive all claims against After-School Sports LLC including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to After-School Sports LLC and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.


Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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