Spring 2025 Youth Programs Registration

Student Name*

First NameLast Name

Parent/Guardian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Phone Number*

Parent/Guardian Email*

example@example.com

RELEASE AND WAIVER OF LIABILITY AGREEMENT

I am aware of the activities that I am voluntarily participating in and I agree to assume any and all risks of bodily injury, property damage, whether those risks are known or unknown. I hereby release, forever discharge and agree to hold harmless the Town of Arlington, its directors, employees and agents from all claims or liabilities of any kind relating to the participation of any programs on Town of Arlington porperty and/or right-of-ways.

Date

Parent / GuardianSignature*

Current School*

School Grade Level Spring 2025*

Date of Birth*

Date

Dominant Hand*

Emergency Contact Name*

Emergency Contact Phone Number*

Emergency Contact Relationship*

yesno

If previous lessons elsewhere, name of facility/pro

My Products:

TOWN REGISTRATION FEE- MUST select both a registration fee and as many products as desired.

No Registration Fee: Already Registered for 2025 Spring Season$ Free

Already paid Spring 2025 Registration and now adding Intramurals

Spring 2025 Registration Fee, Arlington Residents$25.00

Must be a registered incorporated Arlington address

Spring 2025 Registration Fee, Non-Residents $50.00

Unincorporated Arlington, Lakeland, Bartlett, Cordova, Fayette, Eads, and all other non-residential addresses

K-12TH BEGINNER/ADVANCED BEG RECREATIONAL PLAYERS

6th-12th Beginner/ Adv Beg INTRAMURALS, MONDAYS 6:30-8:00 PM (late fee added)$130.00

4 Mondays in April-May starting AFTER Monday Academy session is complete. *Must have completed at least one season of clinics, camp, or Academy - independent serving skills NOT required.

Drop-in Clinics / Private Lessons

Drop-In Clinics / Private Lessons$ Free

Invitations posted on GroupMes or scheduled privately. Fees paid directly to coach.

Subtotal $0.00Shipping $0.00Total $0.00

Spring Programs - 2025 Youth Registration