Breakfast Club Sign-Up - SYV Sports Academy

Participant Name

First

Last

Participant Age

Parent/Guardian Name (required for participants under 18 — leave blank if you are the participant)

First

Last

Email (Parent/Guardian, or yours if you are the participant)

Phone (Parent/Guardian, or yours if you are the participant)

& Notes —

Emergency Contact Name & Phone (if different from parent/guardian above)

Allergies or Medical Notes (optional)

Waiver & Acknowledgment

I acknowledge the risks of athletic participation and agree to SYV Sports Academy’s liability waiver and Breakfast Club policies on behalf of myself and/or my athlete.