Miniletics Academy Registration Form

Miniletics Academy Registration

Welcome to our children's sports program! Please fill out this form to register your child for the sports program.
Child's Full Name*

First NameLast Name
Parent/Guardian's Full Name*

First NameLast Name
Parent/ Guardian's Email Address (Please make sure the email is typed correctly)*
example@example.com
Phone Number*
Please enter a valid phone number.
Child's Date of Birth*

MonthDayYear
Date
There is an annual registration fee of $50, which includes a program jersey. This fee is required each school year and helps support program activities, sports equipment, training materials, seasonal events, and administrative expenses necessary to operate the academy.
Type Your Child’s Jersey Size:
Is this your first time registering with Miniletics Academy?*

YesNo
Medical Conditions / Known Allergies
Emergency Contact Information
Emergency Contact Name*
Emergency Contact Phone Number*
Please enter a valid phone number.
Additional Information
Any additional information you'd like to provide?
Student Media Release: Choose one option*

I, parent or guardian of named child, Grant permission to Miniletics Academy LLC to use photographs and/or videos taken of my child for use ONLY in promotional and educational materials such as brochures, newsletters, Miniletics website gallery and Miniletics Academy social media pages. Yo, padre o encargado de niño(s) nombrado, le doy permiso a Miniletics Academy LLC para usar fotografías y/o videos tomados de mi hijo para su uso ÚNICAMENTE en materiales promocionales y educativos como folletos, boletines, galería del sitio web de Miniletics y páginas de redes sociales de Miniletics Academy.I, parent or guardian of named child, I DO NOT Grant permission to Miniletics Academy LLC to use photographs and/or videos taken of my child for use ONLY in promotional and educational materials such as brochures, newsletters, Miniletics website gallery and Miniletics Academy social media pages. Yo, padre o encargado de niño(s) nombrado, NO doy permiso a Miniletics Academy LLC para usar fotografías y/o videos tomados de mi hijo para su uso ÚNICAMENTE en materiales promocionales y educativos como folletos, boletines, galería del sitio web de Miniletics y redes sociales de Miniletics Academy. páginas de medios.
Waiver Terms & Conditions:
By providing my Signature I have read and agree to all Waiver Terms & Conditions & Student Media Release. Signature Required *

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Miniletics Academy Registration

Emergency Contact Information

Additional Information

Waiver Terms & Conditions: