LEARN
PLAY
GROW
Youth Volleyball League
Registration will be Dec. 27th — Feb. 4th
Games will start
Feb. 27, 2016
Cost:
$45 for members
$75 for non-members
For program details
contact Joe Roberts at
[email protected]
(325) 695-3400
YMCA of ABILENE
Spring Volleyball 2016
YMCA OF ABILENE SPORTS REGISTRATION FORM
REGISTER IN PERSON AT EITHER FAMILY CENTER
Child’s Name ______________________________________ School __________________
Shirt Size: YS YM YL YXL AS AM AL AXL AXXL (Please Circle One)
Gender: F M
D.O.B. ________ Child’s Age As Of 2/1/2016 _________ Grade _______ Height: ________
Address___________________________________ City __________________Zip ________
Primary Contact ______________________________ Cell Phone _____________________
Email Address _______________________________________________________________
Secondary Contact ____________________________ Cell Phone _____________________
How many years have they played? _____ Skill Level: Beginner Intermediate Experienced
Age Division: 6U(5&6)
8U(7&8)
10U(9&10)
12U(11&12)
14U(13&14) (Circle One)
Are you willing to COACH? __YES __ NO How many yrs have you coached? _______
Name ________________________________________ Shirt Size: AS AM AL AXL AXXL
Cell Phone _________________ Coach’s Email ___________________________________
Will you sponsor a team?
YES — NO
Sponsor’s Name Printed on Back of Team’s Shirt
__ $100 — Sponsor’s Name: _________________________________________________
YMCA POLICY & WAIVER
I hereby give my consent for this child to be photographed for publicity purposes (the photos will only be used for YMCA or United Way purposes). I understand
that all jerseys will be ordered by standard age group size. I understand that all written requests may not be honored (certa in coach, players, practice days,
etc.). All refund requests made at least 14 days before the first meeting date of the event enrolled in will be refunded 100%, 7 days before the start of the
event 50% and less than 7 days no refund will be given. If a participant would like to transfer to a later session and the request is made 14 days in advance no
additional fee will be charged. For requests made less than 14 days before the start of the original session a $10.00 additional fee will be charged. f there are
spots still available after the deadline, there will be a $20 FEE FOR LATE REGISTRATION. I understand that requests may not be honored and that switching
teams after the deadline will not occur (unless approved by the Sports director). In the event of bad weather, the YMCA is on ly required to host 6 games per
season. By my signature and my free will, I do hereby agree to indemnify and save harmless the YMCA of Abilene from any and a ll claims or demands, costs or
expense arising out of any injuries or damages sustained by me or any party to or for whom I am responsible.
Signature:______________________________________________________
(parent or guardian)
Date:____________________________
FOR OFFICE USE ONLY: Amount Paid: ___________ Receipt #__________________ Date:_______________ Initials:_____________
CALL
325.695.3400 or 325.677.8144
EMAIL
[email protected]