ChildWatch Registration 

Children must be registered for ChildWatch before attending. The Billings Family YMCA must also have an up-to-date immunization record on file prior to care. No Exceptions. 

 

By filling out the ChildWatch Registration form you are agreeing to the following:

I realize that this and all YMCA Programs involve certain inherent risks, and regardless of precautions taken by the YMCA or the participants, injuries may occur.  I agree that I have been informed or, understand and acknowledge those inherent risks.  I certify that the participant’s present level of physical condition is consistent with the demands of active participation in this YMCA program.  I agree to forever release, discharge and covenant not to sue the YMCA for liability from any and all loss or damage, whether or not caused by negligence, either active or passive, by or on behalf of the YMCA.  I will indemnify and hold the YMCA harmless from any and all claims made by others.  I assume all the risks and hazards incidental to the conduct of YMCA Programs and I do further release, absolve, indemnify, and hold harmless the YMCA of Billings, School District #2, Laurel School Dist. #7-70, the organizers, sponsors, supervisors, volunteers, and officials any or all of them.  In case of injury, I hereby waive all claims against the organizers, sponsors, supervisors, volunteers, and officials any or all of them.  I understand that there is a possibility that my child may be asked to move to a different class time if the minimum enrollment is not met.  I also acknowledge that participants may be photographed providing opportunity for the YMCA promotions.


Minor Medical Release and Consent Form
As parent and/or guardian, I do herewith authorize the treatment by a qualified and licensed medical doctor of this participant in the event of a medical emergency as deemed by the attending physician.

Child's Name
Sex
Glasses?
Height
feet
inches
lbs.
Mothers Name
Mother's Address
Mother's Phone Number
Father's Name
Father's Address
Father's Phone Number
Emergency Contact
Emergency Contact Phone Number
Has your child been properly immunized for his/her age?
Do you understand that no person other than yourself (who brought him/her into Child Watch) will be allowed to pick up your child unless other arrangements have been made?
ChildWatch Consent Form
I realize that this and all YMCA Programs involve certain inherent risks, and regardless of precautions taken by the YMCA or the participants, injuries may occur.  I agree that I have been informed or, understand and acknowledge those inherent risks.  I certify that the participant’s present level of physical condition is consistent with the demands of active participation in this YMCA program.  I agree to forever release, discharge and covenant not to sue the YMCA for liability from any and all loss or damage, whether or not caused by negligence, either active or passive, by or on behalf of the YMCA.  I will indemnify and hold the YMCA harmless from any and all claims made by others.  I assume all the risks and hazards incidental to the conduct of YMCA Programs and I do further release, absolve, indemnify, and hold harmless the YMCA of Billings, School District #2, Laurel School Dist. #7-70, the organizers, sponsors, supervisors, volunteers, and officials any or all of them.  In case of injury, I hereby waive all claims against the organizers, sponsors, supervisors, volunteers, and officials any or all of them.  I understand that there is a possibility that my child may be asked to move to a different class time if the minimum enrollment is not met.  I also acknowledge that participants may be photographed providing opportunity for the YMCA promotions.
Minor Medical Release and Consent Form
As parent and/or guardian, I do herewith authorize the treatment by a qualified and licensed medical doctor of this participant in the event of a medical emergency as deemed by the attending physician.
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