_Access: Youth Fitness Access Program Application & Waiver

Youth Fitness Access Program Application & Waiver

For residents ages 14–17 requesting access to the Inspiration Fitness Complex under the Youth Fitness Access Program.
Resident Information
Parent/Guardian Full Name

First NameLast Name
Resident Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Minor
Minor Information
Minor Full Name

First NameLast Name
Email
example@example.com
Minor Date of Birth

MonthDayYear
Date
Age
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Eligibility Verification
Orientation Scheduling
If a parent is unable to attend with the minor, the linked form must be completed prior to the class date.
Upload Photo for Youth Fitness Access Pass - i.e. Skyward of School Photo

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Youth Fitness Access Program Application & Waiver