2025 Fall Youth Sport

2025 Fall Youth Sport

Program Registration
Select program(s)

Beginner Jiu-Jitsu (Mondays)Skating Lessons (Mondays)Intermediate Jiu-Jitsu (Tuesdays)Tennis (Tuesdays)Social Circus (Tuesdays)Swimming Lessons (Wednesdays)Soccer Academy (Thursdays)
Participant Information
Name*

First NameLast Name
Band Number
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityProvince

Postal / Zip Code
Does the child have any allergies, chronic illness, medical or behavioral conditions? If yes, please describe:
Parent/Guardian Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Emergency Contact Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Relationship to Child
Parental/Guardian Consent and Acknowledgement
I hereby give my approval for my child’s participation in any and all activities prepared by Squamish Nation. In exchange for the acceptance of said child’s candidacy by Squamish Nation, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Squamish Nation 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 Squamish Nation including all leaders, staff, 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. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Photo Release
I, the undersigned, hereby grant permission to Squamish Nation to take and use photographs for use in publications, promotional materials, social media, or other communications.

I understand that these images may be used without further notification.
Photo Release*

YesNo
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.
Signature*

Clear
Should be Empty:

2025 Fall Youth Sport

Participant Information

Parent/Guardian Information

Emergency Contact Information

Parental/Guardian Consent and Acknowledgement

Photo Release

Confirmation