YOUTH
SOCCER
Everyone Plays!
BRISTOL FAMILY YMCA
Location:
Ages:
Dates:
Day and Time:
Registration:
Cost:
Practice:
Games:
Bonham Road Soccer Fields
4-5, 6-9, 10-13
April 1 - May 6 (make up date May. 13)
Saturdays 10:00 am -1:20 pm
March 4 - March 31 (no exceptions)
Y Members $40, Non-Members $50
Y Afterschool Participants $30
April,1, 8, and 15
April 22, 29, and May 6
Contact:
Shaka Andrew, Sports Coordinator
BRISTOL FAMILY YMCA
400 M L King Jr. Blvd.
Bristol, TN 37620
P 423 968 3133
E [email protected]
W bristolymca.net
For your convenience, online registration
is available at stolymca.net
Our youth soccer program utilizes the YMCA’s seven principles: everyone plays, safety first, fair play, positive competition, family
involvement, sports for all, and sports for fun. This is a recreational soccer program designed for youth to have fun while learning
the skills and rules of the game. By stressing teamwork, our sports program helps teach youth how to have good sportsmanship
and to be good citizens. The league is supported by parent volunteers and Y staff. Please consider volunteering below.
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Youth Soccer - Spring 2017
Experience level (1 being beginner and 5 being advanced) Circle one: 1
2
3
4
5
Age Group: _____ 4-5 (10:00am-11:00 am) _____ 6-9 (11:10am-12:10 pm) _____10-13 (12:20pm-1:20 pm)
Volunteer Coach? ________Yes
________ No
Participant’s Name: _________________________________________________________________________________________ DOB: _____/______/___________
School: ________________________________________________________________________________ Grade: __________________
Age: ____________
Tee-Shirt Size: ___________________________
Medical Condition/Medications/Allergies: ______________________________________________________________________________________________________________________
Parent/Guardian Name: _________________________________________________________________________________________________________ DOB: ______/______/___________
Address: ___________________________________________________________________ City__________________________________ State____________ Zip Code____________________
Home Phone: __________________________ Cell Phone___________________________ Email address ____________________________________________________________
I hereby certify that my child is in normal health and capable of safe participation in Y Youth Programs. If there are any health conditions, I
will notify the Y of such problems. I assume all risk(s) and hazards incidental to the conduct of any program.
I hereby authorize the Y to obtain medical treatment for my child in the event that parent/guardian(s) cannot be reached. I will be
responsible for any medical costs, including ambulance transportation.
I give permission for my child to participate in the media coverage and publicity of the YMCA.
Parent/Guardian Signature: _________________________________________________________________________________________________
Date: ____________________________
These materials are approved for distribution in the Bristol Tennessee schools. These materials and the activity described herein are not
sponsored or endorsed by the Bristol Virginia School Board.