Cheer Crew Registration – Northumberland

YFC Canada

YFC is a national organization built on local chapters.

Registered Charity #106868847RR0001

YFC Northumberland

Registered Charity #132177296RR0001

Cheer Crew runs on Monday evenings, attending the home games of the Cobourg Cougars Jr A Hockey Club, at the Cobourg Community Centre (CCC). Programming may also take place at our office (700 Darcy St. Building 18), next door to the CCC. Registration is required (below).

For more information, please contact Connie (Cheer Crew Program Coordinator) at connie@nyfc.org.

Cheer Crew Registration 2024-2025

How many youth are you registering? (ages 9-13)*
Youth #1 Info
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Gender*
Allergies or Medical Conditions
Other helpful information which may help your child thrive in the program
Youth #2 Info
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Gender*
Allergies or Medical Conditions
Other helpful information that may help your child thrive in the program
Youth #3 Info
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Gender*
Allergies or Medical Conditions
Other helpful information that may help your child thrive in the program
Home Address
Address*
Street Address Address Line 2 City Province Postal Code
Parent/Guardian Info
1st Parent/Guardian Name*
First Last
1st Parent/Guardian Cell Phone*
1st Parent/Guardian Email*
Enter Email Confirm Email
2nd Parent/Guardian Name
First Last
2nd Parent/Guardian Cell Phone
2nd Parent/Guardian Email
Enter Email Confirm Email
Consents
MEDICAL / PERSONAL HARM*
Yes
I hereby release Northumberland Youth Unlimited from responsibility and liability for any harm that may occur to the youth in my care noted above, as a result of their wilful participation in the program/activity described above. I understand that reasonable precautions for the health and safety of participants will be taken. Furthermore, I give permission for the person(s) in charge to seek medical assistance for the youth in my care noted above, in the event of accident or injury, and acknowledge that I must assume total responsibility for any and all medical assistance related costs. Every attempt will be made to contact parents or guardians before such action.
AGE 10+ PERMISSION TO SIGN IN/OUT (optional)
Yes
I give permission to the youth in my care noted above (age 10+) to sign themselves in and/or out without a parent present. In doing so, I release Northumberland Youth Unlimited of any responsibility after they sign out and leave the premises.
FAITH DISCLOSURE*
Yes
I understand that Northumberland Youth Unlimited is a faith-based charitable organization that is operated by Christian values. I understand that Northumberland Youth Unlimited is inclusive to all program participants regardless of their personal religious belief, race, sexuality, gender, or socio-economic status. I understand that the staff and volunteers of Northumberland Youth Unlimited, with the utmost dignity and respect, may engage in conversations and/or lessons regarding topics of faith with the youth in my care noted above, during the course of their participation with Northumberland Youth Unlimited.
PHOTO / VIDEO (optional)
Yes
I do authorize Northumberland Youth Unlimited to take, use and own, in perpetuity; photo/video/audio recordings of the youth in my care noted above, understanding that these may be used for public promotional purposes. NOTE: Northumberland Youth Unlimited does not sell or give away any recorded materials or mailing list information.
PARTICIPATION*
Yes
I understand that the program/activity described above is a program of Northumberland Youth Unlimited and all consents on this page also apply to this program/activity. I have read, understood and hereby give permission for the youth in my care noted above, to attend and participate fully in the program/activity described above by Northumberland Youth Unlimited and agree to these waivers and conditions.
Signature*

Cheer Crew Registration 2024-2025

Youth #1 Info

Youth #2 Info

Youth #3 Info

Home Address

Parent/Guardian Info

Consents