St. George Youth Programs Registration 2023-24(Responses)
Sign in to Google to save your progress. Learn more
Last Name *
First Name *
Boy/Girl *
Age *
as of Sept 1, 2023
Date of Birth *
Sample - 04/04/2010
Does your child have any health concerns that would be affected by their participation *
Yes/No  If yes, please identify or explain the concern
Please identify all sports below that you anticipate your child will be involved in *
Required
Grade in 2023-24 *
Cell phone or best contact number *
Parent/Guardian Name *
Home Address *
Parent e-mail address *
Emergency Contact Name and Number *
Other than parent/guardian
Parent Electronic Signature and Date (Please sign below after reading) *
I, as parent or guardian, understand that participating in any of the activities above may be hazardous and could result in injury.  I certify that my child has my permission and is physically capable of participating.  I also assume all risks of injury and I hereby, for myself, my heirs, executors and administrators, waive and release all rights and claims I may have against the Town of St. George, the St. George Parks and Recreation Department, Committee, Boosters and their agents and representatives for any and all injuries suffered by me or my child in any town sponsored programs.  I also agree to follow all rules and regulations regarding players, coaches and spectator behavior set forth by the department at all times and locations. I understand that if I cannot adhere to these rules, the person(s) named above will forfeit participation in the department's programs.  I have read and understand the above information and agree that the listed participants in this form and I will abide by all the rules set forth by the St. George Parks and Recreation Department.  I also understand the St. George Parks and Recreation Department strongly recommends that I/we have accident and health insurance in force when participating in any activity offered to me by the Town of St. George and/or its representatives.
Would you be willing to volunteer in some capacity?
Please check off areas you are willing to help and write in sport you would coach.  
Do you give permission for the St. George Recreation Boosters to use your child's picture from team photos or game action on their site?
Clear selection
If you could pick one, what new youth sport or activity would you like to see St. George Parks and Recreation sponsor?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Town of St. George. Report Abuse