CYS Youth Sports & Fitness
*Please ensure that the form is filled out legibly
(Childs Name, First and Last)
Best Contact Phone #
My child may be photographed while participating in a CYS program for release to the media? Yes____ No____
WAIVER REQUEST: (below only applies to customers waiving a child into an older division)
I request to waive my child up one division ______________________.
(Please circle ONE Sport and ONE Division in designated boxes)
Track and Field
I would like my children on the same team:
(Only applies to children in the same division)
(Name of child/ children)
I would like to coach my child’s team: ________________________________.
Youth Extra Small (YXS)
Youth Small (YS)
Youth Medium (YM)
Youth Large (YL)
Adult Small (AS)
Adult Medium (AM)
Adult Large (AL)
Adult Extra Large (AXL)
I have received a copy of the AYSL Basic Parents Information.