Fall 2025 After School Program Registration Form

After School Program Youth Registration

Child 1 Information
Child 1 Information
Child Name*

First NameLast Name
Birth Date

MonthDayYear
Gender
Pronouns
Ex: She/Her He/Him/They They/Them
Grade Level*
If your child attends Abernathy Elementary, would you like/allow us to pick up your child from school? *
Will Your Child Need Rental Shoes?*
Shoe Size
Which Youth Program have you signed up for?*
Home Address (Where they reside most often)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Child 2 Information (If Applicable)
Child 2 Name

First NameLast Name
Birth Date

MonthDayYear
Gender
Pronouns
Ex: She/Her He/Him/They They/Them
Grade Level
If your child attends Abernathy Elementary, would you like/allow us to pick up your child from school?
Will Your Child Need Rental Shoes?
Shoe Size
Which Youth Program have you signed up for?
Home Address (Where they reside most often)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/ Guardian Section
Parent/Guardian Information
Parent/Guardian 1*

First NameLast Name
Cell Number*
E-mail
example@example.com
Please Upload a Valid ID for Parent/Guardian 1 *

Cancelof
Parent/Guardian 2 (If Applicable)

First NameLast Name
Cell Number
Parent/Guardian 3 (If Applicable)

First NameLast Name
Cell Number

Emergency Contact
Emergency Contact Information
Emergency Contact's Name*

First NameLast Name
Relationship
Phone Number*
Alt. Phone Number
E-mail
example@example.com
Does your child have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is your child prescribed an inhaler? If yes, please explain any instructions.
Is there anything else you would like us to know about your child?

Drop Off/ Check Pick Up Section
Pick Up & Check Out Process
Will your child need to be signed out by a parent/guardian/approved pick up person? - - - Ex for NO: My child walks home from school, so they are fine to walk home after their session is over.*

Please list all person/s who are approved to pick up your child (please include other parents in the program that may pick up your child).

	First Name	Last Name	Relationship	Phone Number
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6

We ask for valid ID for anyone picking up for our youth program. An alternative is having a passcode, either word or number. Please let us know what works best for you
If you want to utilize a passcode for pick up please enter it below
Pickup: All children are expected to be picked up by a parent or authorized guardian at the club end time. If a parent/guardian arrives 15 minutes after the club end time, families will be charged a designated late fee. There will be no exceptions or warnings. If a parent/guardian is late for whatever reason (flat tire, heavy traffic, weather conditions etc.) a late charge will be issued. A “no exceptions” policy makes it easier to apply the late policy to everyone consistently and fairly. Consistent late pick-ups may result in being asked to not be re-booked.

LATE PICK-UP POLICY FEE AND PROCEDURE:
-First 15 minutes: Grace Period
-15 minutes late: Automatic flat $10.00 late fee is charged
-After 15 minutes: A $1.00 per minute late fee is charged

-Example #1: If a child is picked up 15 minutes late it is a flat $10 late fee.
-Example #2: If pick-up is at 2 pm and a parent/guardian arrives at 2:18pm, the charge is $10.00 for the first 15 minutes, and $3.00 for the additional 3 minutes. Total late fee charge would be $13.
Attendance: It is important that we know if your child will not be attending the program on a day when scheduled to be with us. When children do not arrive as scheduled and we are not noticed, staff must take time away from program duties to determine the missing child's whereabouts. Please email, call or text the program email or phone before 1:00 PM. There will be a $5.00 fee added to your next bill for each failure to notify us of an absence. All families will receive a one-time warning call or email for the first failure to notify of an absence.

Consent and Acknowledgement
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Skyhook Bouldering during the selected camp. In exchange for the acceptance of said child’s candidacy by Skyhook Bouldering ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Skyhook Bouldering. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against Skyhook Bouldering. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including climbing. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Orientation Video
Please ensure that your child has watched and understands the content of our Orientation Video
I acknowledge that my child/youth have watched and understand the orientation video*

Code of Conduct
Guiding Principles

Purpose: These principles are written to ensure a balanced blend of sportsmanship, recreation, and skill development in keeping with Skyhook’s Mission statement.

Skyhook Bouldering values sportsmanship, fair play, skill development, and mutual respect among all players, coaches, parents and spectators. This code of conduct has been established and adopted to ensure the guiding principles of Skyhook Bouldering are understood and met by all athletes associated with this organization.

Code of Conduct

Participation in any program at Skyhook Bouldering is a privilege. Athletes/participants are ambassadors to and for our facility. They are expected to conduct themselves with dignity, respect and sportsmanship

1. I will show respect for all participants, parents, coaches, patrons, staff and spectators.

2. As a parent of a Skyhook participant, I will be a positive role model for my child and encourage sportsmanship by showing respect and courtesy, and by demonstrating positive support for all players and coaches.

3. Good sportsmanship/attitude is expected from campers, coaches and parents by demonstrating a positive attitude and speaking in a positive manner towards all involved.

4. I will win and lose graciously, demonstrating good sportsmanship throughout games and activities.

5. I will be honest and take responsibility for my actions and results.

6. I will not use any form of intimidation or bullying against another player, coach or teammate.

8. I will keep my hands to myself and abstain from any form of touching, hitting or roughhousing with teammates, coaches, etc.

9. I will respect others' personal space.

10. I will listen and not interrupt coaches.

11. I will follow all rules/instructions from coaches the first time I’m asked.

12. I will not encourage any behaviors or practices that would endanger the health and well being of my teammates.

13. I will abstain from explicit/lewd language.

14. I will maintain control of emotions and avoid actions, language, and/or gestures that may be interpreted as hostile or humiliating.

15. I will demonstrate that I want to be a team member at Skyhook by giving a good effort in activities. I know that I do not have to participate, but do have to follow instructions for alternatives.

Disciplinary Actions

i. Any misconduct will be investigated in a timely and responsible manner. The scope of disciplinary action will be determined by management in its sole discretion. Management will provide any person accused of misconduct a reasonable opportunity to be heard.

ii. After a reasonable investigation, management will determine the appropriate disciplinary action for any violation of this code of conduct and any actions to be taken in response.

1). Disciplinary action will be based on the nature and severity of the violation.

2). Management will strive to treat all similar offenses in a similar manner, while taking into account the individual facts and circumstances of each violation.

3). Management will not discriminate in any manner in determining whether to impose a penalty or in determining which penalty to impose.

iii. Management will keep reasonable and appropriate records of each reported violation, and shall document each violation and the reasons for imposing the penalty.

Disciplinary Response

Management shall determine the appropriate penalty for any code of conduct violations. Penalties may include any one or more of the following:

Verbal Warning
Documented Warning/Contact Guardian
Behavioral Contract
Removal from camp
Expulsion from Skyhook

**Please go over this with your child**

My signature confirms that I have read, understand and agree to abide by the Skyhook Code of Conduct Guidelines.

Confirmation & Signature
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*

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After School Program Youth Registration

Child 1 Information

Pick Up & Check Out Process