PREREGISTRATION IS REQUIRED
Registration Form and Release from Liability Form
And Photograph use/model release for this groups
promotions only
The following form is to be completed by the
parent/guardian of the youth who will be participating in the youth field day
on the second Saturday in September.
Childs Name:_________________________________________________
Age:____________ Sex:______________
Birth Date:_____________________
Must be ages 10-15 by 9-30 of the current year
Parent’s Name:_______________________________________
Home Phone#:______________________________
Parent’s Adress:_________________________________________________________________________________
_______________________________________________________________________________________________
Name of parent accompanying child:______________________________________ Only one parent per child please
(Parents are not required to attend, however if you are
going to attend we need an accurate count for food)
I/WE __________________________________ do herby permit
my/our child to participate in the various activities offered by the Northern
Chesapeake Sportsmen for Kids Field Day at the
I/WE __________________________________ do herby release the
Northern Chesapeake Sportsmen for Kids, all sponsors, staff, and volunteers
from any liability due to any accident or injury during the day’s
activities.
______________________________________________________
Signature
of parent/guardian Date
If your child would like to be
in the same group as a sibling, relative, or friend please specify all
children’s names on the lines below. We
will do our best to accommodate any requests, but groups are made on a first
come first serve basis.
________________________ ________________________ ________________________
________________________ ________________________ ________________________
PARENTS/GUARDIANS:
Would you be willing to be a group leader at Field
Day? NCSFKids
would like two adult leaders for each group.
Leaders are responsible for moving their group of approximately 16
children from activity to activity in a timely manner. We recommend that interested individuals
attend at least two meetings prior to the event. If you would be interested please fill out
the information below and we will contact you with meeting dates and
times.
Name:__________________________________
Phone:________________________________
E-mail:________________________________________________________________________
Mail to: Northern Chesapeake Sportsmen
For Kids E-mail: info@ncsfkids.com