• Registration Form

    Parent/Guardian Instructions: Please complete one registration form for each child. Information collected helps Beyond Athletics Chicago (BAC) safely support your child, administer B ALL IN programming and measure program outcomes
    • Program Enrollment 
    • Is this participant new to BAC?*
    • How did you hear about BAC?*
    • Participant Information 
    • Date of Birth *
       - -
      2 digit month, 2 digit day, 4 digit year
    • Parent / Guardian Information 
    • Format: (000) 000-0000.
    • Participant Demographics 
    • Participant Demographics (collected to help BAC understand who our programs are reaching. Select 'Prefer not to answer' when offered if you do not wish to provide an optional demographic response).*
    • Gender*
    • Education & Youth Development Baseline 
    • How is your child currently doing in school?*
    • During the 2026-2027 school year, has your child experienced any of the following? Select all that apply.*
    • Disability, Accessibility & Support Needs 
    • Does your child have a disability, diagnosis, or support need you would like BAC to know about? Select all that apply*
    • Does your child need accommodations or additional support to participate?*
    • Health & Safety Information 
    • Does your child have any allergies?*
    • Does your child carry an EpiPen, inhaler, or other emergency medication?*
    • Emergency Contacts & Authorized Pickup 
    • Photo and Video Release 

    • Beyond Athletics Chicago (BAC) respects the privacy, dignity, welfare, and safety of every child participating in our programsand activities. BAC requests parent or legal guardian permission before using identifiable photographs, videos, or otherrecordings of a minor for public or promotional purposes.

      Purpose of this release. Your child may participate in BAC programs including youth activities, athletic and recreationalprogramming, tutoring, mentoring, community outings, workshops, special events, and other BAC-sponsored activities. During these activities, BAC staff or authorized representatives may take photographs or video recordings.

      If permission is granted, images or recordings may be used for:

      -BAC's website and social media accounts

      -Newsletters, flyers, brochures, and other program or promotional materials

      -Grant reports, presentations, community partnership materials, and program documentation

      -News or media coverage related to BAC programs, activities, or events

      Participation is not conditioned on media consent. Choosing not to consent will not prevent your child from participating in BAC programs or activities. BAC will make reasonable efforts to honor your selection when photographs or recordings are taken.

    • Media Consent: Please check ONE of the following options:
    • Participant Activity Waiver, Assumption of Risk and Release 

    • 1. Participation and Assumption of Risk

      I understand that participation in BAC programs may include athletic, recreational, educational, mentoring, youth development, community outing, workshop, special event, and other supervised activities. I acknowledge that such participation involves inherent risks, including but not limited to physical injury, illness, or property damage. I voluntarily assume all risks associated with participation and agree to comply with all rules and instructions provided by BAC staff andvolunteers.

      2. Release and Hold Harmless

      To the fullest extent permitted by law, I hereby release, waive, discharge, and covenant not to sue Beyond Athletics Chicago,its officers, directors, employees, volunteers, agents, and affiliates (collectively, "Released Parties") from any and all liability, claims, demands, causes of action, or damages arising out of or related to any loss, damage, or injury, including death, that may be sustained by me or the participant, whether caused by the negligence of the Released Parties or otherwise, while participating in BAC programs or while on BAC premises.

      3. Parent/Guardian Consent for Minors

      If the participant is a minor, I certify that I am the parent or legal guardian of the participant and have the authority to enter into this waiver on their behalf. I consent to the participant's participation in BAC programs and agree to all terms herein.

      4. Health and Safety Information

      I agree to disclose any medical conditions, allergies, or limitations that may affect the participant's ability to safely participate in BAC programs. I understand that BAC staff may provide or seek emergency medical treatment if necessary.

      5. Emergency Care Authorization

      In the event of an emergency, I authorize BAC staff to obtain medical treatment for the participant, including transportation to a medical facility if deemed necessary, and to provide relevant medical information to healthcare providers. 

      6. Illinois Law and Severability

      This waiver shall be governed by and construed in accordance with the laws of the State of Illinois. If any provision of this waiver is found to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

      I acknowledge that I have read this waiver, understand its terms, and that signing it may affect my legal rights or those of theparticipant.

       

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