YFC Skate Night Sign Up

YFC/Campus Life Skate Night Sign Up

2025 Dates: Sept 25, Oct 23, Nov 13, Dec 1 - All events 6:30pm - 9:30pm
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
CL Club/School*
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*
Please enter a valid phone number.
Consent and Release of Liability
I represent that I am the participant named below (if 18 or over) or the legal parent/guardian of the child named below, who is under 18 years of age. In consideration for allowing my child to participate in this activity and ongoing YFC activities, I hereby consent to the foregoing on behalf of my child and agree that this release shall be binding upon me, my child, our heirs, legal representatives and assigns.
Participant Signature*

Clear
Participant Name*

First NameLast Name
Date*

MonthDayYear
Date
Parent/Legal Guardian Signature (if participant is under 18)

Clear
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Date*

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

YFC/Campus Life Skate Night Sign Up