change makers

Child 1 *

First Name

Last Name

Birthday: *

MM

DD

YYYY

Child 2

First Name

Last Name

Birthday: *

MM

DD

YYYY

Parent Phone *

(###)

###

####

Parent Preferred Communication

Text

Call

Email

Athlete Responsibility & Parent Partnership. To build discipline and consistency; each athlete will be responsible for bringing and managing their own gear each week: *

Bottled water

Change of clean shoes (especially during wet/muddy weather — clean shoe bins will be provided)

Uniform: Fusion T-shirt (provided) + comfortable athletic bottoms

My Stats / Playbook (must be brought every week — this is part of their Rally Points)

Arrival Process: 🚪 Drop-off begins at 5:15 PM 👟 Athletes will change into their clean shoes and place water bottle + phone (if brought) into the bin area 🔁 No phone use during program — phones stay in the bin unless needed for safety or parent contact 🧭 All athletes should be in huddle position and ready to begin by 5:30 PM sharp Pick-up: ⏰ 7:15 PM Parent Expectations: Please help your athlete arrive on time and fully prepared — attendance & readiness count toward Rally Points Parents and siblings are welcome to stay, but must remain in the carpeted area and supervise additional children at all times for safety We are using this routine as part of the leadership training — learning to show up prepared, respect the space, and start strong together as a team.

PARENT: I understand that my athlete must bring their water, uniform, and Stats Book each week. I understand the drop-off, shoe change, and huddle start time procedure.

ATHLETE(S): I understand that I am responsible for my water, uniform, and Stats Book each week. I understand the drop-off, shoe change, and huddle start time procedure.

Cost of the 8 week program: $25 (1 Child) $45 (Family) Payment is due at 1st class!

I will pay cash / venmo / check at 1st class

I have paid in full

I would like more information on scholarship opportunities