tumbling class
TUMBLING CLASS
AT WOODSTOCK NORTH HIGH SCHOOL
Ages 5 to Adult Thursdays from 5-6 p.m.* Only $8/week for 5 weeks = $40** January 7-February 4, 2016 We will be working with Blake again as our instructor *There may be some space in the 4-5 p.m. slot for older children **can be prorated if you need to start late Fill out the form and return with payment. Contact Coach Firkus McAdow at [email protected] with any questions.
WOODSTOCK NORTH HIGH SCHOOL TUMBLING CLASS REGISTRATION Session 2016 January 7th-February 4th Check appropriate ______$8 per session/5 weeks = $40 total ______prorated amount $8/week starting date ______ Please return this form with payment through the mail, drop off in main office, or sign up at the class addressed to
Woodstock North High School Attention: Kelly Firkus McAdow 3000 Raffel Road Woodstock, IL. 60098 (Please Print) Cheerleader’s Name:________________________________________________________ Grade:___________________ Address: ___________________________________________________________________________________________ Parent/Guardian Name:______________________________________Phone #: ___________________________ Parent Email Address:_________________________________ Emergency Contact Name and Phone #: _________________________________________ Waiver of Liability and Acknowledgement of Warning Athletic/Recreational Activities Agreement Consent Form I, the undersigned parent or guardian of __________________________, acknowledge that the Woodstock Community Unit School District 200 does not provide school accident insurance for students participating in activities. I understand that I must obtain insurance for accidental injury to my child/ward. Further, I hereby acknowledge that I have been properly advised, cautioned, and warned by the proper administrative, teaching, and coaching personnel of District 200 that by participating in sports/activities I hereby release, indemnify, and hold harmless Woodstock Community Unit School District 200, its Board members, agents, employees, and officers from any and all claim for personal injury and property damage which my child/ward may incur by such participation in sports/activities. I do hereby acknowledge that I have been fully advised, cautioned, and warned by the proper administrative and coach personnel of the Woodstock Community Unit School District 200 that my child/ward named above may suffer serious injury, including but not limited to sprains, fractures, brain damage, paralysis, or even death by participating in sports/activities. Notwithstanding such warnings, and with full knowledge and understanding of the risk of serious injury which may result to my child/ward name above, I give my consent for _________________________ to participate in sports/activities. I also understand that my son/daughter will be expected to obey the rules and regulations set forth by the Athletic Policy Handbook, the Illinois High School Association, and as explained by the athletic coach/advisor on the first day of practice. A copy of these rules and regulations were given to me, in addition, I give consent to Woodstock Community Unit School District 200 to release height and weight information for use in athletic programs. _______________________________________Parent/Guardian Signature _________________________________ Student-Athlete Signature
AT WOODSTOCK NORTH HIGH SCHOOL
Ages 5 to Adult Thursdays from 5-6 p.m.* Only $8/week for 5 weeks = $40** January 7-February 4, 2016 We will be working with Blake again as our instructor *There may be some space in the 4-5 p.m. slot for older children **can be prorated if you need to start late Fill out the form and return with payment. Contact Coach Firkus McAdow at [email protected] with any questions.
WOODSTOCK NORTH HIGH SCHOOL TUMBLING CLASS REGISTRATION Session 2016 January 7th-February 4th Check appropriate ______$8 per session/5 weeks = $40 total ______prorated amount $8/week starting date ______ Please return this form with payment through the mail, drop off in main office, or sign up at the class addressed to
Woodstock North High School Attention: Kelly Firkus McAdow 3000 Raffel Road Woodstock, IL. 60098 (Please Print) Cheerleader’s Name:________________________________________________________ Grade:___________________ Address: ___________________________________________________________________________________________ Parent/Guardian Name:______________________________________Phone #: ___________________________ Parent Email Address:_________________________________ Emergency Contact Name and Phone #: _________________________________________ Waiver of Liability and Acknowledgement of Warning Athletic/Recreational Activities Agreement Consent Form I, the undersigned parent or guardian of __________________________, acknowledge that the Woodstock Community Unit School District 200 does not provide school accident insurance for students participating in activities. I understand that I must obtain insurance for accidental injury to my child/ward. Further, I hereby acknowledge that I have been properly advised, cautioned, and warned by the proper administrative, teaching, and coaching personnel of District 200 that by participating in sports/activities I hereby release, indemnify, and hold harmless Woodstock Community Unit School District 200, its Board members, agents, employees, and officers from any and all claim for personal injury and property damage which my child/ward may incur by such participation in sports/activities. I do hereby acknowledge that I have been fully advised, cautioned, and warned by the proper administrative and coach personnel of the Woodstock Community Unit School District 200 that my child/ward named above may suffer serious injury, including but not limited to sprains, fractures, brain damage, paralysis, or even death by participating in sports/activities. Notwithstanding such warnings, and with full knowledge and understanding of the risk of serious injury which may result to my child/ward name above, I give my consent for _________________________ to participate in sports/activities. I also understand that my son/daughter will be expected to obey the rules and regulations set forth by the Athletic Policy Handbook, the Illinois High School Association, and as explained by the athletic coach/advisor on the first day of practice. A copy of these rules and regulations were given to me, in addition, I give consent to Woodstock Community Unit School District 200 to release height and weight information for use in athletic programs. _______________________________________Parent/Guardian Signature _________________________________ Student-Athlete Signature
