Cheer/Pom K-4 Clinic Registration

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Parents, please fill out 1 form per sport for each child. Thank you in advance.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Winter Clinic REQUIRED Please fill out this field.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter valid data.
  
  Athlete Grade REQUIRED Please fill out this field.
  
  Athlete Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Please identify the option that best applies to your athlete. REQUIRED Please fill out this field.
  
  Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Please indicate below which parish your athlete belongs to (Parish Full Name and City) REQUIRED
  If you do not belong to one of these parishes, please contact the athletic office to receive verification. (248) 623-0340 Ex 600
  Please fill out this field.
  
  If you chose "OTHER" please provide explanation.
  
  Parish at which your children attends Rel. Ed. Please enter valid data.
  
  Photo Release Agreement REQUIRED I consent I do not consent to this release Please fill out this field.
  
  PARENT/GUARDIAN INFORMATION
  
  Parent/Guardian First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent/Guardian Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent Guardian Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Secondary Parent Contact Email REQUIRED Please fill out this field. Please enter valid data.
  
  Secondary Parent Contact Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Name of Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Policy Number REQUIRED Please fill out this field. Please enter valid data.
  
  Please read all statements listed below you will be asked to acknowledge that you have read and understand all of the conditions stated there in.
  
  Parent/Legal Guardian Assumption of Risk and Authorization.
  
  As the parent or legal guardian of the player(s), I am aware that participation in sports requires an acceptance of risk of possible injury. Thus, as the parent or legal guardian of the above named play I understand, recognize, and accept the risk of possible injury in the participation of sports. I attest to the availability of health insurance, and commit to notifying the Athletic Director in the event that such coverage is terminated, or replaced. Additionally I commit to notifying the Athletic Director of any material medical conditions present, or that may surface during this year with the Player, that could increase the risk of injury for the player, or his/her teammates. I will submit a completed physical prior to the commencement of practice or game play. I hereby give my consent for the above named player(s) to participate in High School Athletics. I understand that there is a chance of accidents or injuries in any athletic activity. I understand that the CHSL, Our Lady of the Lakes Parish, Our Lady of the Lakes School is not responsible in any way for accidents or injuries incurred during activities sponsored by any of the above named organizations. I give my permission for my son(s)/daughter(s) to be treated by a physician or dentist and/or any physician or dentist in attendance if parent/guardian cannot be contacted. I give my consent to participate in this sport:
  
  Link to full document available by clicking HERE!
  
  Football players view HERE!
  
  Concussion Awareness Release
  
  By my name and signature below, I acknowledge in accordance with Public Acts 342 and 343 of 2012 that I have received and reviewed the Concussion Fact Sheet for Parents and Students provided by Our Lady of the Lakes Parish and School.
  
  To view concussion materials CLICK HERE!
  
  Code of Conduct
  OLL Student Athlete Code of conduct located HERE.
  
  By clicking below you acknowledge that you have read and understand all of the above conditions stated there in.
  Parent - I Agree Please select this field.
  
  Student - I Agree Please select this field.
  
  Registration policies
  
  It is important that we obtain accurate counts for our upcoming sports seasons. In order to ensure that our teams are staffed appropriately and that we are able to provide sufficient resources for our players, the following terms apply.
  
  1. Sports registration payment must be made in a timely manner. Athletes will not be permitted to compete in contests until payment has been cleared, or an arrangement to pay has been made with the Athletic office.
  
  2. Players may choose to participate in any of our sports. However, we ask that students only register for sports that they intend to play. Consider your registration as a promise to participate and a promise to pay.
  
  3. OLL is bound by CYO, Catholic League, and MHSAA rules and regulations. Additionally, the OLL student and athlete codes of conduct must be followed at all times. These rules may from time to time result in players becoming ineligible by their own actions.
  
  4. The sports registration fee permits students to play on one or many athletic teams. There will not be discounts for players who only play one sport, or players who intend to play multiple sports, but change their mind.
  
  Access relevant documents here: https://ollonline.org/athletics-registration
  
  Parent or Guardian must type full legal name below.
  
  Name typed below constitutes an electronic signature, agreeing that all submissions in this form are accurate, and that party agrees to and understands information contained within.
  
  Parent or Guardian REQUIRED Please fill out this field. Please enter valid data.
  
  PLEASE CLICK THE BUTTON BELOW TO PROCEED TO PAYMENT. YOU WILL BE PROMPTED TO ENTER YOUR PAYMENT INFORMATION. REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS PROCESSED.
  
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Our Lady of The Lakes

PARISH & SCHOOL

Cheer/Pom K-4 Clinic Registration

Our Parish

Our School