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  • 2022-2023 SUMMER SESSION REGISTRATION FORM

  • Youth Participant Information

  • Parent/Guardian Information

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  • Emergency Information

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  • Informed Consent and Acknowledgement

    I hereby give my approval for my child’s participation in any and all activities prepared by CEO of My Life Youth IncYOUbator during the selected session(s). In exchange for the acceptance of said child’s candidacy by  CEO of My Life Youth IncYOUbator, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless CEO of My Life Youth IncYOUbator and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

    In case of injury to said child, I hereby waive all claims against CEO of My Life Youth IncYOUbator including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

  • PLEASE SIGN YOUR SIGNATURE BELOW FOR CONSENT. IF YOU CAN'T PLEASE BE SURE TO SELECT THE "I AGREE' TAB ABOVE

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    Virtual Summer Session 1: June 15-26 For: Tween CEO's grades 6th-8th and Teen CEO's grades 9th-12th.
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    Virtual Summer Session 2: June 29-July 10 For: Tween CEO's grades 6th-8th and Teen CEO's grades 9th-12th.
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    Virtual Summer Session 3: July 13-24 For: Tween CEO's grades 6th-8th and Teen CEO's grades 9th-12th.
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    Virtual Summer Session 4: July 27-August 7 For: Tween CEO's grades 6th-8th and Teen CEO's grades 9th-12th.
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    Tiny CEO-Virtual Summer Session 1: June 22-26 For: Tiny CEO's grades 4th & 5th
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    Tiny CEO-Virtual Summer Session 2: July 6-10 For: Tiny CEO's grades 4th & 5th
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    Tiny CEO-Virtual Summer Session 3: July 20-24 For: Tiny CEO's grades 4th & 5th
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    Virtual Fall 2020 Semester Session: October 10th-November 7th For: Tween CEO's grades 6th-8th and Teen CEO's grades 9th-12th.
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    Virtual Spring 2021 Semester Session: January 30th-March 7th For: Tween CEO's grades 6th-8th and Teen CEO's grades 9th-12th.
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