BUILDING OUR FUTURE WITH A SPIRIT OF PRIDE
Unity Community Development Corporation
Joliet IL
Unity Community Development Corporation/UCDC
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Address:
Parent Name
Email Address:
Particpant Name
City:
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 Zip:
 Phone Number:
Height
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School:
 Grade:
EMERGENCY CONTACT INFORMATION
Parent/Guardian  Name:
 Emergency Phone Number:
<<<<<You Must check this box to approve the waiver below
PERMISSION WAIVER: I give my son/daughter or participant name (above) permission to
participate in recreation programs. I understand safety and precautions will be provided. I
waive all responsibility of Unity C.D.C and participating churches and organization for any
and all injuries my child may sustain while participation in the summer league. Unity C.D.C will
not be responsible for transportation to and from the league game and practices. In case of
injury I give my permission to youth director / or assigned councilor to administer first aid
and contact emergency services for my child.  I understand and I agree and I approve this
waiver upon clicking the submit button below
Must click submit button to send information
For further information, contact: Unity CDC, 815-722-9200 or email us at  info@unitycdc.org
INNER CITY YOUTH SPORTS LEAGUE PROGRAM
Joliet Panthers Football & Cheer Home
JOLIET PANTHERS YOUTH FOOTBALL PLAYER REGISTRATION
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