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Enroll

Community Youth Development Institute (CYDI) High School

Home
Students
Student Life
Academics
Athletics
Files and Forms
News
School Calendar
Labs
Learn & Earn
IL-Works
About
What We Do
Roots of CYDI
Board Meeting Minutes
CYDI Annual Report 2024
Contact Us
773.224.2273
Enroll
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Player Name *
Player Phone # *
Player Address *
Line
Parent Name *
Parent Phone # *
I hereby give my consent to have a trainer, coach, team manager, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the participant with medical assistance and/or treatment and agree to be financially responsible for injury based on information provided herein. I hereby authorize emergency transportation of the applicant to a medical treatment facility should an individual listed above consider it to be warranted. I recognize the possibility of physical injury associated with basketball, and hereby release, discharge, and otherwise indemnify Community Youth Development Institute (CYDI), their sponsors and employees, and associated personnel of these organizations, against any claim by or on behalf of the basketball player named above as a result of the player's participation in the CYDI basketball program and/or being transported to or from the same, which transportation I hereby authorize.
Date
I, the parent/guardian of the above named child consent for participation in the CYDI Sports Camp. I hereby agree that CYDI, its members, coaches, staff or officers shall not be held liable for any injury or loss which my child may sustain while participating in activities sponsored by or under the supervision of CYDI, and I agree to indemnify and hold harmless CYDI, its members, coaches, officers and sponsors, their employees and associated personnel, including the owners of the facility utilized for the programs, against any claim whatsoever.
Date
Thank you!

 

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Community Youth Development Institute (CYDI), 7836 S UNION AVE, CHICAGO, IL 60620
CYDI Contact Form
Name *
Phone
Thank you!
773.900.7286

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