Big Apple Youth Sports PS6 Application For Fall 2024 Grades K-5

The Spring Semester runs from September 5th, 2024- January 31, 2025. Pick Up For All Grades between 5PM - 5:45PM via the PS6 Yard/Cafeteria.

Child Attending's First Name *

Child Attending's Last Name

Grade at Start of 2024-2025 School year *

Class Room *

Allergies (if any) OR Asthma (if none please type N/A): *

School Name if other than PS6

Gender *

Male

Female

Played in Big Apple After school last semester? *

Yes

No

Big Apple Youth Sports AFTERSCHOOL CLASSES at PS6 FALL 2024. FALL Semester runs from September 5th 2024 - January 31st, 2025 Classes run from 2:30 to 5 with pickup between 5 and 5:45PM Classes Take Place on the PS6 premises and start directly following school dismissal. IF A CLASS SELLS OUT PLEASE EMAIL US AT BACOACHES@GMAIL.COM TO BE PLACED ON THE WAITLIST FOR THAT CLASS *

*Mondays: Coed Flag Football/Basketball Class Grades 2-5 $930

*SOLDOUT*Mondays: Coed Youth Tennis Grades 1-3 $930

*SOLDOUT*Tuesdays: Introduction to Youth Sports Coed: Grades K-2 $930

Tuesdays: Coed Soccer League: Grades 3-5 $930

Wednesdays: All Girls Sports Class: Grades 2-5 $930

SOLDOUT*NEW*Wednesdays: The Basketball Skill Development Class (Min of 6, Max of 10) Grades 3-5 $1100

*SOLDOUT*Thursdays: Introduction to Youth Sports Coed Class: Grades K-2 $930

Fridays: Intramural Sports Coed Tournament Grades 2-5 $930

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

The Following people are authorized to pick up my child (please include parent names as well for easy sign out): *

My child(ren) may go home alone after the end of the program *

Yes

No

Family Information: CC information will be necessary when proceeding to the next pg. BA does not store CC information from prior use or accept cc information over the phone.

Primary Email Address *

Alternate Email Address *

Parent's Name *

Parent's Phone *

Parent's Name

Parent's Phone

It is the responsibility of the Parent/Guardian to inform BAYSI, in writing, if someone is not legally permitted to pick up your child(ren) from the program. Prior notification must be given to BAYSI if someone other than the above listed will be picking the child(ren) up after the program. Notification consists of a phone call to BAYSI, giving a description of the authorized person and a note from the parent/guardian.

I, the undersigned, being the Parent/Guardian certify that the applicant on this form is in good health and that he/she has my permission to participate in this program. I fully understand that each participant will engage in activities that involve the risk of serious injury which might result from their own actions, the negligence of other participants, the rules of play, the condition of the premises, or any equipment used. It is further understood that I shall not be entitled to any refunds or deductions for any absences or illnesses during the semester. Furthermore, I certify that I release BAYS, its directors and staff from liability for medical, dental expenses while at BIG APPLE YOUTH SPORTS. I also grant consent and permission for any emergency treatment deemed necessary for my child. It is understood that only the applicant listed above will take part in Big Apple classes. Classes are not transferable between friends or family members. Big Apple has the right to use photos and video taken within the program to promote future Big Apple Leagues, programs or events. In the event of an emergency I further permit such emergency treatment at the nearest available clinic, whether city or private. Pro-rated Refunds can only be requested the first 2 weeks of the semester. If a person or family cancels their registration in a class prior to the start of the class, the family will incur a $75 cancellation fee per class cancelled. This money will be deducted out of the payment received by BIG APPLE YOUTH SPORTS for said class. Students can withdraw from any class during the first two weeks of the semester for the specific class in which they are enrolled. The refund in such a case would be pro-rated minus the classes that occurred while the child was registered and a 3% processing fee of the total paid. The last day for students to drop a class is September 21, 2024. If a student joins after the refund period is over there will be no refund under any circumstance. IT IS UNDERTSOOD THAT NO CREDIT OR REFUNDS WILL BE GIVEN IN THE FALL SEMESTER OF THE 2024/2025 semester. Furthermore BIG APPLE YOUTH SPORTS will not extend a refund, make up days or credit for class absence OR any class or classes that have been cancelled due to any event that is out of Big Apple’s control. This includes but is not limited to the Covid pandemic, variants of Covid-19, other possible viruses or pandemics, general sickness, injury, school cancellations, city/state/nation wide mandates, weather, natural disasters or any other unlikely events. I understand and agree to follow these terms and all Covid safety precautions deemed necessary by Big Apple Youth Sports, the CDC, the school in which my child attends, and/or the Dept. of Education.

I further acknowledge that at the end of each Initial Dismissal, Big Apple Youth Sports (together with its personnel and its agents, affiliates, or other representatives, “BA”) assumes responsibility for coordinating the continued dismissal and release of each participating child to his or her Guardian until 5:45 pm ET or the release of the last child (“Extended Dismissal”).

I give permission for my child to be released to the care of BA at the end of each Initial Dismissal until the end of Extended Dismissal, and give permission for my child to receive emergency first aid treatment by BA in the unlikely event of an injury. I understand that every effort will be made to contact me before and after medical care is provided, and if I cannot be reached, I give my consent to BA to obtain the necessary medical care for my child, which may include transportation by ambulance or other vehicle to an emergency center. I agree to pay all of the costs associated with the emergency medical care that my child receives, and understand that BA will not cover any medical expenses due to injury received through my child’s participation in the Program or incurred during Initial Dismissal or Extended Dismissal. I understand that this consent will be in effect as of the date of my signing this form and will continue as long as my child is enrolled in the Program.

I voluntarily release, forever discharge, and agree to indemnify and hold harmless BA from any and all claims, demands or causes of action which are in any way connected with my or my child’s participation in the Program and during Initial Dismissal or Extended Dismissal, or my child’s use of the Program’s or BA’s equipment or facilities, including any such claims which allege negligent acts or omissions of BA except if such claims, demands, or causes of action arise out of BA’s gross negligence or willful misconduct.

Should BA or anyone acting on their behalf be required to incur attorney’s fees and costs to enforce this waiver, I agree to indemnify and hold them harmless of all such fees and costs.

By signing this waiver, I acknowledge that if anyone is hurt, or property damaged during my child’s participation in the Program or during Initial Dismissal or Extended Dismissal, a court of law may find me to have waived my right to maintain a lawsuit against BA on the basis of any claim from which I have released them herein.

I HAVE HAD SUFFICIENT OPPORTUNITY TO READ THE ENTIRE DOCUMENT. I HAVE READ AND UNDERSTOOD IT, AND I AGREE TO BE BOUND BY ITS TERMS.

Use the mouse to trace your signature *

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