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Registration is currently open for Football, Cheerleading, and Camp iCAN.
camp ican - pay online:
REGISTRANT NAME:
register online
Registration
Date
MM slash DD slash YYYY
Youth Name
*
First
Last
Gender
Male
Female
School
Grade
Current GPA
Age
Birth Date
Home Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Email
I want to enroll my child in the following program(s):
Camp iCAN
Football
Cheerleading
Baseball
Softball
Boxing
Golf
Track & Field
After School Enrichment
Basketball
NLS Business School/Urban Vision
Girls Unlimited
Male Head of Household
First
Last
Phone
Female Head of Household
First
Last
Phone
Other Emergency Contact
First
Last
Phone
Emergency medical conditions of youth...
Please contact me because I am interested in volunteering in the following areas(s):
Concessions
After School Meal Preparation/Service
Coach/Assistant Coach
After School Enrichment/Tutoring
Personal Growth Assistant
Other (please list)
Other
I hereby give my consent for the New Level Sports Ministries to use my child’s photograph and likeness to be used in its publications, including its website. I release them from any expectation of confidentiality for the undersigned minor child and attest that I am the parent or legal guardian of the child listed below.
My child has permission to participate in the new level sports athletic programs. I hereby release and waive any and all claims against new level sports and any agents, representatives, officers, board of directors, coaches, and other personnel of the same, from any responsibility of liability or liability for any injury, loss or damage which may hereafter be suffered or sustained by my child arising out of their playing or participating in this program. This includes while competing, traveling to or from any game, practice or activity sponsored by new level sports or while a spectator at any game or practice.
I authorize the head coach of my child’s team, new level sports staff, or emergency personnel to seek and/or provide medical attention for my child if I cannot be contacted.
Signature
First
Last
Date
MM slash DD slash YYYY
Δ
About
About NLSM
Five Foundational Pillars
Youth Village Project
Staff
Programs
Sports
Education & Enrichment
Personal Growth
Entrepreneurship Program
Youth Village Camp iCAN!
Custer Greens Golf Course
Events
Gallery
Get Involved
Donate
Volunteer
Partner with Us
Contact
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