2024 YES Session 6: Game On! Registration @ Carver Elementary School

Youth, Education, & Sport (YES) Program Registration

Session 6: Game On! (3/10/2025 - 4/9/2025)
This one-of-a-kind Skyhawks program includes a mix of popular PE games such as kickball, dodgeball, ultimate, capture the flag and more! A chance for everyone to get moving, burn some energy and have a great time while playing with friends. No specific sport skills will be taught in this program.
Program Details
Programming will take place Mondays and Wednesdays at Carver Elementary, when School District 11 is in session. Days where school is not in session YES Program will not be occuring.

This Session will not be occuring during Spring Break (3/24-3/28)
- Check-In & Snack: 2:50pm - 3:00pm
- Programming Begins: 3:15pm
- Pickup: 4:00pm
*Snack will be provided for students.*

*Please have your students bring a water bottle*

*Please make sure your student has appropriate clothing that they can be inside or outside in.*

All Skyhawks programs begin with our coaches and staff setting expectations for behavior for participants. Participants are reminded of our expectations on behavior at the start of each day. Therefore, we have a 5 - step behavioral process for our participants, coaches and parents to follow. All incidents are documented. If behavior continues past 5 incidents, the child will be removed from the program. Please see the 5 - step beahvioral process below.

Five-Step Behavior Process:
1. One on One Discussion – What did they do? Do they understand why it was not acceptable?
2. Break #1 – Child controls the duration
3. Break #2 – Coach controls the duration
4. After consulting manager, Program Director contacts parent to discuss behavior.
5. Program Director contacts manager to discuss removing child from camp for the day.
Participant Information
Student's Name*

First NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Grade for the 2024-25 School Year*

2nd Grade3rd Grade4th Grade5th Grade
Gender*

MaleFemaleNon-Binary
Skills Assessment
Fill out the questions below addressing your students movement/motor, teamwork, rule following, and leadership skills prior to participating in this YES Program session.
Movement/Motor Skills*
Teamwork*
Rule Following*
Leadership*
Parent/Guardian Contact
Name*

First NameLast Name
Cell Number*
Home Phone Number*
Work Phone Number*
E-mail*
example@example.com
Secondary Parent/Guardian Contact
Name

First NameLast Name
Cell Number
Home Phone Number
Work Phone Number
E-mail
example@example.com
Emergency Contact
*Contact should be different from the parent/guardian listed above.*
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Alt. Phone Number*
Does the student have any allergies, chronic illness, or medical conditions? If yes, please describe.*
Is the student prescribed an inhaler? If yes, please explain any instructions.*
Which language would you like the waivers and agreements in?*
Photography Policy
On occasion the YES program will be taking pictures of the programming. If you agree to this, please select "yes". If you would prefer for your student to not be in any pictures, please select "no".*

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.
Date

MonthDayYear
Date
Signature

Clear
Should be Empty:

Youth, Education, & Sport (YES) Program Registration

Program Details

Participant Information

Skills Assessment

Parent/Guardian Contact

Secondary Parent/Guardian Contact

Emergency Contact

Photography Policy

Confirmation