Alumni Community Registration

ALUMNI COMMUNITY REGISTRATION

Instructions

DEADLINE: Forms are due on Tuesday, JUNE 1.

ALL participants are required to complete a LIABILITY RELEASE form prior to attending programs. If you already completed one for 2021, you do NOT need to complete another one.

ALL participants are required to complete a MEDICAL FORM prior to attending programs. If you already completed one for 2021, you do NOT need to complete another one.

Programs will be implemented following CDC and Ohio Dept. of Health guidelines. Please review the YC Safety Protocol on our website.

SUGGESTED DONATIONS: YC suggests a donation of $10 per program during this season. Suggested donation amounts can be paid at your convenience. Again, this is a suggested donation and no participant will be denied programming for lack of monetary payment.

TRANSPORTATION: Provided on a limited basis. See sign up below for details.

You may access all virtual programs at www.youthchallengesports.com/ycalumni

**Please complete the ENTIRE registration form and click \”submit\” at the end. For REGISTRATION QUESTIONS, contact:
Lisa Friel, Alumni Engagement Manager, at [email protected] or 440-892-1001.

Last Name *

First Name *

Date of Birth *

Street Address *

City *

Zip Code *

Email *

Cell Phone Number *

Preferred Method of Contact *

Are you comfortable wearing a face mask during program? *

Emergency Contact Name *

Emergency Contact Phone Number *

DEMOGRAPHICS

Please note:

Youth Challenge receives substantial funding from Foundations and Community Partners. Often, they require certain demographic and income data to ensure that their grantees meet requirement set forth in specific funding guidelines. If you are comfortable doing so, please complete the following section which includes questions relating to income, education, and race/ethnicity. This section is not required and information provided will not be shared.

Gender: *

Ethnicity *

Education Level: *

Income *

IN-PERSON PROGRAMS

Details:

Tuesday\’s, 5:30-7:30pm at various locations listed below. Providing own transportation is preferred, but YC will provide transportation on a limited basis. Join us for outdoor activities such as hiking, hand-cycling, fishing, archery & more.

6/8 @ Settler\'s Bluff Picnic Area, Cleveland

6/22 @ South Mastick Picnic Area, Fairview Park

7/6 @ Cuyahoga Valley National Park

7/20 @ Emerald Necklace Marina, Rocky River Res.

8/3 @ Euclid Creek Res., Cleveland

Transportation options. Check ONE. *

I will provide my own ride to and from program.

I request transportation provided by YC.

Transportation details: Please provide any specific information that we may need when providing transportation. *

6/15

6/29

7/13

7/27

Tuesday\'s, 2-3:30pm @ YC and virtual option. Join in our discussions about healthy choices, wellness, and advocacy while slurping some smoothie\'s and feeling refreshed. Should provide own transportation to and from program. Transportation may be provided on a limited basis.

Additional sign-up info: *

I plan to attend in-person at YC

I plan to attend virtually via Zoom

I request transportation from YC, if available

6/11 @ For Corners Mini Golf, Middleburg Hts, 6-8pm

7/9 @ Cleveland Museum of Art, 12-2pm

7/31 @ Upper Edgewater Park, 12:30-2pm

A variety of social programs at various locations. Must provide own transportation to and from program. See sign up below for dates, times and locations.

6/19

Walk, run or roll through the park with us from 1:30-3pm at Lakewood Park. Family and friends encouraged to join. Check out our website for event registration. Must provide own transportation to and from program.

8/4

5:30-7:30pm at YC. A backyard BBQ at YC with YELP and ACT participants. Must provide own transportation to and from program. If transportation is an issue, please contact Lisa.

VIRTUAL PROGRAMS

Details:

Virtual programs are held via Zoom. You may access all virtual programs at www.youthchallengesports.com/ycalumni

Fitness - 10am weekly on Monday\'s from 6/7 - 8/2

Gratitude - 12pm weekly on Tuesday\'s from 6/8 - 8/3

Game Night - 8pm weekly on Thursday\'s from 6/3 - 8/5

Chat & Connect - 7pm on 6/29 & 7/28

RELEASE OF LIABILITY

Release of liability will be sent to you in a separate email to complete and return PRIOR to attending programs (if you did not already complete one for this year).

Please date this form *