Youth Flag Football League
Registration:
June 1, 2016—August 6, 2016
Registration can be done in person at
the Putnam County YMCA or online at
putnamymca.org. There will be a $10 late
fee for any registrations accepted after
August 10.
Divisions (By Age)
5-7 years of age
8-11 years of age
Boys and Girls Teams
5-7 age group practice on Mon. & Sat.
8-11 age group practice on Thurs. & Sat.
Fees:
YMCA Members - $21.00
Non-Members $41.00
Fee includes shirt and end of
season award
Important Dates
Practices begin week of Aug. 14
Games begin week of Aug. 28
Other Information:
Games and practices will be held
behind the YMCA. Every attempt will
be made to have 1 game each
week. If you have any questions, please contact
Brian Barhorst at the YMCA at (419)523-5233.
Complete and return this form along with registration fee to: Putnam County YMCA, 101 Putnam Parkway, Ottawa, Ohio 45875
Child's Name ____________________________________________________________________________
Address ________________________________________________________________________________
City _________________________________________ State _____________________ Zip ____________
Phone ______________________________ Birthdate___________________________ Age ____________
Parent(s) or Guardian Name ________________________________________________________________
Email Address _____________________________ I would like to be on a team with: __________________
Division:
5-7 years old
Circle School District:
Circle Shirt Size
Kalida
YS (6-8)
8-11 years old
Ottawa
YM (10-12)
Pandora
Sex:
Glandorf
YL (14-16)
AS
Boy
Girl
Leipsic
Col. Grove
AM
AL
AXL
Other________
AXXL
Coaching Information
Yes, I would like to coach: Name ___________________________________________________________
Coach’s Phone ____________________________________________ Shirt Size _____________________
Name of (1) one other coach you would like to coach with_________________________________________
I do hereby agree to hold free from any and all liability the YMCA and its respective officers, employees, and members and do hereby for
myself, heirs, executors, and administrators waive, release and forever discharge any and all rights and claims for damages which I may
have or which may hereinafter accrue to me arising out of or connected with my participation in any of the activities of the YMCA. The
YMCA has my permission to use photographs and/or videos of me or my child in YMCA promotional material.
Parent signature____________________________________________________ Date_________________