Youth Cheer & Tumbling Registration FormSome text goes herePlayer Name (required)Date of BirthGender (required)BoyGirlGrade (required)456Address (required)Parent/Guardian (required)Relationship to Player (required)Phone (required)Address (required)Emergency Contact (required)Phone (required)Shirt Size (required)YSYMYLYXLASAMALAXLMedical Conditions, Health concerns that may effect the players ability to perform resonably assigned tasksI understand that this is a community youth organization and my childs photo may be published as a participant in the activities he/she has registered forPARENT/GUARDIAN AGREEMENT AND AUTHORIZATION FOR PARTICIPATION By my signature below, I confirm that the above is true to the best of my knowledge. Furthermore, I agree to encourage my child to use good sportsmanship and I agree to show good sportsmanship like conduct as a fan or volunteer. I also give my permission to the Irrigon youth Basketball program to give the above phone number to coaches, assistant coaches or those who have an immediate need. Finally, by my signature below I confirm that my child has permission to play in the above sport and I also confirm that I am the parent, guardian, or responsible party that can authorize the child’s participation in the above sport. In case of emergency, I hereby authorize a representative of Irrigon youth Basketball to seek emergency medical attention for my child.Parent/Guardian Signature(typed) (required)Date (required)$50 Registration Fee (plus processing fee)or checks can be made out to Irrigon Community Park and Recreation DistrictThere was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.
