Youth Track Registration Form | National Federation of the Blind of Arizona

Parent Information

Parent/Guardian Name

Additional Parent/Guardian Name

Mobile Phone Number

Additional Mobile Phone Number

Email Address

Additional Person Who May Check Child Out Of Kids Youth Track Program

Child Information

Child's Name

Additional Child's Name 2

Additional Child's Name 3

Additional Child's Name 4

Please Add Any Notes, List Any Allergies, Health Issues, or Any Other Concerns

Acknowledgments

Trampoline Park Waiver

One of our wonderful events planned is Jumping Cholla Trampoline Park (www.jumpcholla.com). A waiver is required for all jumpers and observers going on to the attraction floor. We recommend filling out the waiver before going to the park. Jumping Cholla Trampoline Park Waiver

I Acknowledge That I Will Fill Out The Trampoline Park Waiver

I Give Permission To Youth Track Coordinators To Change My Child’s Diaper (If Applicable)

Yes

No

Not Applicable

I Give Permission To Youth Track Coordinators To Transport My Child

Yes

No

I Understand That It Is My Responsibility to Administer Any Medication To My Child During Youth Track Activity Hours

I Wish To Enroll My Child In The 2026 National Federation of The Blind of Arizona State Convention Youth Track And Give My Child Permission To Participate In All Related Activities

I Give Permission For Photographs, Videos, and/or Recordings Of My Child To Be Taken And Used For Promotional, Educational, or Social Media Purposes By The National Federation of the Blind of Arizona. I Understand That These Materials May Be Shared Publicly, and I Release The National Federation Of The Blind Of Arizona From Any Claims Related To Their Use

Signature

By signing below, I acknowledge that I have read, understood, and agree to all terms, conditions, and permissions outlined above. My electronic signature confirms my consent to each applicable selection and serves as my acknowledgment of the terms stated in this form.

Signature

Signature Date

Parent Information

Child Information

Acknowledgments

Trampoline Park Waiver

Signature

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