Join the Y’s Men Soccer League and have a “kicking good time”.
Y’s Men Youth Soccer League
Boys & Girls
Grades K – 5
When & Where
Saturday mornings starting March 25, 2017 and ending April 29, 2017
Week 1 (clinic week): Grades K / 1 at 10:15am, followed by Grades 2 – 5 at 11:30
Weeks 2 – 5 (games): Grades K / 1 at 10:15, followed by Grades 2 - 5 at 11:30
We will not have soccer Easter weekend April 15th.
**Location: Soccer Fields 625 W. 18th Street
Be sure to save this information, we will NOT be doing “reminder calls.”
Also, if you suspect a cancellation please listen to KCII radio.
Cost : $30 for members / $60 for program participants
Financial Assistance Available. This program is subsidized by the Y’s Men’s & Women’s Club
Please return the Registration Form WITH PAYMENT to the Washington Community Y
NO later than March 16, 2017 to guarantee sign-up.
Youth Soccer Registration Form
$30/$60
Please make checks payable to YMCA of WASHINGTON COUNTY IOWA
Child’s Name _______________________________ M / F (circle) Grade ____________
Parent’s Name _______________________________ Address__________________________
Phone (in case of emergency) _____________________________________________________
Email (to receive important program information) _____________________________________
T Shirt Size (circle one) YS YM YL AS AM AL
Waiver of Liability: I understand that even when reasonable precaution is taken, accidents sometimes happen. Therefore in
exchange for the YMCA of Washington County allowing my child to participate in Youth Soccer , I understand and expressly
acknowledge that I release the YMCA of Washington County from all liability for injury loss and damage connected in any
way whatsoever to my child. I understand this release includes claims of negligence, action or inaction of staff, directors,
guest or volunteers.
Parent or Guardian Signature ____________________________________________________________________Date_______________
Coach Volunteer _____________________________________________________________________Phone______________________________
*YMCA youth memberships are $75/year* ask how to sign your child up today!!
Financial assistance is available. Contact YMCA at 653-2141 for details!!
To register stop in to the Washington Community YMCA Main Street location.