High School Registration Sheet

   

Authorizing Guardian First Name*

Authorizing Guardian Last Name*

Student ID*

Student First Name*

Student Last Name*

Gender*

Height*

 ft  in

Weight (lbs)*

DOB*

Race/Ethnicity (check all that apply)*

Guardian Email Address*
Please note: If parent or guardian does not have access/email,
please enter noemail@yh4l.org.

Re-enter Email Address*

Home Address 1*

Home Address 2
(Apt, floor, suite, etc)

City*

 

State*

ZIP*

Guardian Primary Phone*

 Enter as xxx-yyy-zzzz

Guardian Secondary Phone

School*
Please note: If your school is not shown on the above list,
do not choose an alternate school. Please contact your school office.

Grade*

Receive future YH4L electronic
communications? (check here)

 

If your child participates in any of the

following sports, please mark all that apply: