Cockeysville Recreation Council Registration

Cockeysville Recreation Council Registration - CYC Registration
Must be completed by the participant, or if the participant is a minor/child, by the legal authorized parent or guardian of such minor/child participant. *****Please note that this is NOT a BCPS sponsored event/activity.*****
Participant's School *
Participant Name *

First Name Last Name
If you have another child to register, please add their information in Participant #2. Otherwise leave boxes blank.
Participant's Grade *
Participant #2 Name

First Name Last Name
Participant #2 School
Participant #2 Grade
PARENT/GUARDIAN NAME *

First Name Last Name
Parent/Guardian Email Address *
example@example.com
Parent/Guardian's Phone Number *

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

CHAPERONES/VOLUNTEERS NEEDED
CYC is a completely volunteer run event. We need parent/guardians to volunteer as chaperones. As a condition of your child(ren) attending CYC, we ask that ALL parent/guardian volunteer for at least one CYC. Volunteers are needed from 6:40pm - 10:00pm. As a thank you, children of volunteers attend CYC FREE!!! IF WE DO NOT HAVE ENOUGH VOLUNTEERS, CYC WILL BE CANCELLED. *

November 2, 2018 December 7, 2018 February 1, 2019 March 22, 2019 May 17, 2019 my child is a guest of CMS student
CYC Rules. Students are expected to exhibit appropriate behavior. Inappropriate behavior includes the following: disrespecting parents and chaperones, cursing, hitting, fighting (physical or verbal), kissing, hugging, lap sitting, very physical dance style (grinding or twerking), running, horseplay, jumping on backs, break dancing whereby the feet are in the air, dance circles must have a chaperone inside. Students cannot yell out the inappropriate words from songs where such inappropriate words have been bleeped out.
I have read the above rules and agree to abide by said rule. Parent/Guardian Signature *

Clear
Dress Code. Dress code for CYC is the same as that for BCPS and CMS:*Must wear shoes (flip flops are ok). No pajamas and/or flannel pants *Keep undergarments covered *No clothing or accessories related to drugs, alcohol, profanity, or sex *Stomach, back and buttocks cannot show with or without your hand being raised*No chains of any kind. No studded accessories *All tank top straps must be three adult fingers in width *No low cut, tight, or short clothes *Shorts and skirts may not be shorter than fingertips stretched down and by your side *If you do not follow the dress code, you will be asked to change your attire. *For the safety and concern of all participants, NO HATS.
I have read the above rule regarding Dress Code and agree to abide by said Rule. Parent/Guardian Signature *

Clear

Leaving CYC. Students are not allowed outside unless accompanied by a parent. Parents must park their car and enter the CYC to pick up students. Parents must pick up students by 10:00 pm. Parents are welcome to walk around the facility and find their child. A late fee of $1.00/minute is charged for every minute past the 10-minute grace period (10:10 pm).
I have read teh above rule regarding Learving CYC and agree to abide by said rule. Parent/Guardian Signature *

Clear

Offenders. There is a zero tolerance for offenders, as these rules are published on the web site and reviewed during online registration. Students who do not abide by these rules will be asked to leave the CYC or isolated until a parent can pick them up or the CYC is over.
I have read the above rule regarding Offenders and agree to abide by said rule. Parent/Guardian Signature *

Clear

Acknowledgement, Waiver & Release of Liability

I hereby confirm participant is in good health and able to participate in the activity. I acknowledge the active may involve risk and danger of bodily injury or death. I fully accept and acknowledge the activities may involve risk, and I hereby assume the risk and responsibility for all dangers and risks associated with the participant in the activity. · I acknowledge Baltimore County, Maryland, the Recreation Council, and their respective employees, directors, officers, volunteers, members and any other participant entity, party of person involved in any regard with the Activity or the Activity premises and their respective agents, personal representatives, heirs, employees, contractors, successors and assigns (each on “activity representative” and collectively the “activity representatives”), shall not be responsible or liable in any regard or manner for any and all property damage or bodily injury )including serious physical injury or even death) incurred by participant or any party related thereto as a result of his/her participation in the activity. · I have reread, fully understand, and hereby freely sign, approve of, and agree to the terms of this registration form. I hereby unconditionally release, discharge, covenant not to sue, waive my rights and remedies, and agree to hold harmless the activity representatives from any and all claims, costs, demands, losses, damages, or expenses associated with, in whole or in part, participant’s involvement with the activity. I shall inform the Recreation Council in writing if any information provided—I this Registration Form is incorrect or changes through the course of the activity. I understand Baltimore County and/or the Recreation council do not perform criminal and/or background checks on activity representatives. I shall present a government-issued photo identification card including, but not limited to, my driver’s license, passport, or United States Visa to the activity representative of review, if requested, at the time I submit this Registration From to the Recreation Council.
I have read the above Acknowledgement, Waiver & Release of Liability and agree to abide by said acknowledgement. Parent/Guardian Signature *

Clear
Name

First Name Last Name
Should be Empty:

Cockeysville Recreation Council Registration - CYC Registration

Must be completed by the participant, or if the participant is a minor/child, by the legal authorized parent or guardian of such minor/child participant. *****Please note that this is NOT a BCPS sponsored event/activity.*****

CHAPERONES/VOLUNTEERS NEEDED

Offenders. There is a zero tolerance for offenders, as these rules are published on the web site and reviewed during online registration. Students who do not abide by these rules will be asked to leave the CYC or isolated until a parent can pick them up or the CYC is over.

Acknowledgement, Waiver & Release of Liability

Must be completed by the participant, or if the participant is a minor/child, by the legal authorized parent or guardian of such minor/child participant. Please note that this is NOT a BCPS sponsored event/activity.