YCS Student Information

Played in Big Apple After School Last Semester? *
Big Apple Youth Sports Spring After School Activities at PS 151 (Feb- June 2019) *
Gender *
Played in Big Apple before? *
My child(ren) may go home alone after the end of the program *
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.

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.

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 term. Furthermore, I certify that I release the Big Apple Youth Sports , its directors and staff from liability for medical, dental expenses while at the Big Apple. 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. I further permit such emergency treatment at the nearest available clinic, whether city or private. There will be NO REFUNDS after Feb 15th for all classes besides Tuesday classes.  Tues classes can request a refund until Feb 27th 2019 due to the holiday break that comes prior to their 2nd class.

Use the mouse to trace your signature *