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Beyond The Game Leadership Program
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Indicates required field
Parent Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Phone Number
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Child's Name
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First
Last
School Name
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Grade (2025–2026 School Year):
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4th
5th
6th
7th
8th
9th
10th
11th
Child's Age
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Child's Date of Birth
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Child's Gender
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Boy
Girl
Non Binary
Emergency Contact Name
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First
Last
Emergency Phone Number
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Does your child have any medical conditions, allergies, or special needs we should be aware of?
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No
Yes
If yes, please explain
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Is your child permitted to receive emergency medical treatment if necessary?
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Yes
No
Eligibility Requirement
This event is for children ages 9 to 15 who live in South Suburban Chicago
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I have attached a copy of the student’s most recent progress report.
Upload File
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Max file size: 20MB
demographics (Optional)
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African American / Black
Hispanic / Latino
White
Asian
Other
Prefer Not To Answer
TERMS & CONDITIONS
:
By submitting this form, the parent/guardian acknowledges and agrees to the following:
I give permission for my child to participate in the Beyond the Game Youth Leadership Program. I understand that participation involves travel and group activities.
As a participant, you agree your child can be photographed, videotaped and grant the Robbins Park District and Robbins CalPark Eagles permission to use the finished footage/photography for any purpose deemed appropriate, including but not limited to marketing, advertising, and public relations through print, radio, television, internet, and social media.
You release, discharge, and agree to hold harmless the Robbins Park District and Robbins CalPark Eagles, their affiliates, employees, officers, and directors from any liability related to the use of your child’s photograph, name, likeness, or performance, including claims for invasion of privacy, misappropriation, or defamation.
The Robbins Park District and Robbins CalPark Eagles reserve the right to deny participation to any individual or to remove any participant who fails to follow program rules and expectations.
All participants must comply with all rules and regulations established by the Robbins Park District and Robbins CalPark Eagles. Failure to comply may result in removal from the activity.
I fully release and hold harmless the Robbins Park District, Robbins CalPark Eagles, their officers, staff, employees, agents, and sponsors from any claims arising from injuries, illness, death, or loss of property related to participation.
I further acknowledge that the Robbins Park District and Robbins CalPark are not liable for events beyond their control, including but not limited to acts of God, weather conditions, accidents, criminal acts, civil disturbances, or other unforeseen circumstances.
Submit
Home
About
Board of Commissioners
Our Parks
Meetings
>
Archive
FOIA
Contact
Terms & Conditions
Jobs
RFPs
Events
Beyond Game
Chicago Fire
Juneteenth
Calendar
Rentals
Vendor Application
Community Information