Halifax Youth and Recreation After School Sports Registration
Please complete and submit this form in order to register your child for After-School Sports.  Please send in payment to the school by form of check, made out to the Town of Halifax, prior to the session starting.  Cash is NOT accepted

 1 child - $40/session.  Prepay for all sessions (8th session free) - $280
   2 children - $65/session.  Prepay for all session (8th session free) - $455
        3 children or more - $85/session.  Prepay for all sessions (8th session free) - $595
*Payment must be sent in before the start of the session in order for your child to attend.  
The schedule is as follows:
Monday - Grade 6
Tuesday - Grade 5
Wednesday - Grade 4 *Make-up for monthly staff meetings will be held on Fridays.
Thursday - Grade 3

There are monthly staff meetings on Wednesdays, early release days and holidays that will impact the schedule, so please follow the session calendar (session calendar can be found at the HES web-page at hes.slrsd.org).

We will ask parents/guardians to sign up for text or email communications using the App Remind.  Information on how to set up Remind will be given out once your child’s first session begins.

Students need a note from their parent/guardian giving permission to attend sports at dismissal.  This note should specify the duration of participation for each student.  (For example:  My son may be dismissed to Sports  for session 1; My daughter may be dismissed to Sports for session 1 and 2; or my son and daughter may be dismissed to Sports for all sessions, etc...)   Notes should go to the classroom teacher to be forwarded to the main office and placed on file.  Students will arrive at the gym at 2:35-2:40 from their classroom.  Students are encouraged to bring a snack and refillable water bottle.  Snack time will be from 2:40-3:00 in the gym lobby.  Students may bring in a change of clothes to wear and sneakers are a must.   At 3:00, student warm-up activities begin.  All student pickups should be promptly at 4:30 in the gym lobby.
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Student Name *
Teacher *
Required
Grade *
Sessions *
Required
Health Conditions (medications, allergies, etc.) *
Cell Phone *
Alternate Phone *
Email *
Emergency Contact Name *
Emergency Contact Phone Number *
Due to risk of injury from participation in this program or if any other medical emergency takes place at Afterschool Sports and you cannot be reached, you authorize Youth and Recreation to transport your child to Brockton Hospital, South Shore Hospital, Jordan Hospital, or nearest hospital to obtain medical treatment.  You also authorize ambulance and hospital staff to treat your child.  Please type name of the hospital that you give permission for transport to. *
Does your child attend the YMCA program on the day that his/her group meets? *
Parent Carpool:  Please list the names of all individuals that you authorize to pick up your child.  Any individuals not listed will need permission with a note.  (Proper identification will be required.) *
Please re-type the following statement and write your name at the end:  I give (student's name) permission to be dismissed to the gym lobby on (list days). *
For communication with families, we use the Remind App.  To sign up, go to rmd.at/9c2b33d and and follow the directions to download the app.  If you don't have a smartphone, text the message @9c2b33d to the number 81010. *
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