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 Registration 2023-2024

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
PARTICIPATION*
Yes
I give permission for the youth(s) in my care noted above, to attend and participate in this program set forth by Northumberland Youth Unlimited. This program may include group events on online platforms such as Zoom when required.
MEDICAL / PERSONAL HARM*
Yes
I give permission for the person(s) in charge to seek medical assistance for the youth(s) in my care noted above, in the event of accident or injury. Furthermore, I do not hold Northumberland Youth Unlimited or any of its subsidiary programs responsible for any harm that may occur to the youth(s) in my care noted above, as a result of their wilful participation in the program.
AGE 10+ PERMISSION TO SIGN IN/OUT (optional)
Yes
I give permission to the youth(s) 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.
PHOTO / VIDEO (optional)
Yes
I do authorize Northumberland Youth Unlimited to take, use and own, in perpetuity; photo/video/audio recordings of the youth(s) in my care noted above, understanding that these may be used for public promotional purposes. NOTE: Northumberland Youth Unlimited also does not sell or give away any recorded materials or mailing list information.
Signature*

2023/2024 registrations are full. This form is used only for our waiting list.
For more information, you may contact Connie (Cheer Crew Program Coordinator) at connie@nyfc.org.

Cheer Crew Registration 2023-2024

Youth #1 Info

Youth #2 Info

Youth #3 Info

Home Address

Parent/Guardian Info

Consents