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Participant Information

PARENT/LEGAL GUARDIAN INFORMATION (IF PARTICIPANT IS A MINOR OR LEGALLY INCAPACITATED)

EMERGENCY CONTACT

MEDICAL INFORMATION

PLEASE INDICATE YES OR NO TO EACH QUESTION. 
IF YES, PLEASE DESCRIBE TYPE AND SEVERITY

PARTICIPATION INFORMATION

Please select the sports/activities you are interested in participating in:

ACKNOWLEDGEMENT

BYL Fit & Rec
Your Health Is Your Wealth®
Strong Mind. Strong Body. Strong Spirit.

©2026 by BYL Fit and Rec

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