SUMMIT YMCA ACHIEVERS APPLICATION
A parent/guardian must complete this application for minor participants under the age of 18.
STUDENT INFORMATION
Name
*
First Name
Last Name
Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
Year
Gender
*
Female
Male
Other
Phone Number
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Name
*
Current Grade
*
9
10
11
12
Ethnic Origin
*
African-American
Asian/Pacific Islander
Hispanic/Latino
Native American
White
Prefer not to say
Other
Is the student a previous Summit Area YMCA member or program participant?
*
Yes
No
Continue... (2/5)
PARENT/GUARDIAN INFORMATION
Name
*
First Name
Last Name
Relationship to Student
*
Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
Year
Phone Number
*
Email
*
example@example.com
Continue... (3/5)
EMERGENCY CONTACT INFORMATION
Do you want to provide Emergency Contact information for the student that is different from the Parent/Guardian information provided above?
*
Yes
No
Name
First Name
Last Name
Relationship to Student
Phone Number
Continue... (4/4)
Code of Conduct Agreement
*
Waiver & Release of Liability
*
Coronavirus/COVID-19 Warning & Disclaimer
*
Student Signature
Parent/Guardian Signature
*
Date
*
/
Month
/
Day
Year
Date
*
SUBMIT
Should be Empty: