Sports REGISTRATION FORM (2026-2027)

REGISTRATION FORM

(2026 - 2027 After School Sports Club - Valid for the whole school year)
There is a one time registration fee of $30.00 (Cash/Venmo/Checks)

(CHECKS made to DSA / VENMO: @dsaSports)
INFORMATION:

Price:

(There's a one time Registration Fee of $30.00)

Once a week (1) = $85.00

Twice a week (2) = $130.00

Three times a week (3) = $170.00

Four times a week (4) = $210.00
Days:

MONDAY: K - 2nd (Soccer) / 3rd - 5th (Multi-sport)

TUESDAY: 3rd - 5th (Soccer) / K - 2nd (Multi-sport)

WEDSNESDAY: K - 2nd (Soccer) / 3rd - 5th (Multi-sport)

THURSDAY: 3rd - 5th (Soccer) / K - 2nd - (Multi-sport)
Choose the days
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
Student's name
Grade
Medical Needs / Allergies - Other Special Needs
Mother's name
Mother's cell #
Mother's email
example@example.com
Father's name
Father's cell #
Father's email
example@example.com
Emergency contact's NAME
Emergency contact's cell #
Additional Persons Authorized to Pick Up:
Additional pick-up name # 1
Additional Persons Authorized to Pick Up:
Additional pick-up name # 2
I,
Print Parent/Guardian's full name
, have read, agreed, printed, and made a copy of this Registration Form as well as the Sports Clinic Program Parent and Student Handbook, including the Parent Contract and Student Code of Excellence; and agree to cooperate with all of the policies contained therein. (All these documents can be found in the DSA Clubs website: www.DSAisFun.com)

* Parents/guardians must understand that this type of program may incur injury. Any and all expenses and medical care will be the responsibility of the parents/guardians. Neither the school nor DSA Sports & Recreation, Inc. will be held liable.
Parent/Guardian Print name
Parent/Guardian Signature
Date

MonthDayYear
Date
Should be Empty:

REGISTRATION FORM

There is a one time registration fee of $30.00 (Cash/Venmo/Checks)