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 Name
Last Name
Resident Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Relationship to Minor
*
Please Select
Parent
Legal Guardian
Minor Information
Minor Full Name
*
First Name
Last Name
Email
*
example@example.com
Minor Date of Birth
-
Month
-
Day
Year
Date
Age
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Eligibility Verification
Type a question
*
The minor resides within Inspiration Residential as a dependent of a resident
The minor will complete the mandatory Youth
A Waiver and Release of Liability will be signed
The minor will carry their issued ID badge while using the facility
Orientation Scheduling
Parent is required to attend with minor.
*
Wednesday, March 4th at 6:00 pm
Saturday, March 14th at 10:00 am
Wednesday, March 25th at 6:00 pm
Submit
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