2015 TIFFIN YMCA FALL YOUTH FLAG
FOOTBALL
YMCA YOUTH SPORTS PHILOSOPHY - The YMCA youth sports program is designed to provide fun, safety, family
involvement, fair play, and positive competition. In our program children will learn and practice these values.
Ages: 6-10 years old
Registration: July 6 – August 23
Season: September 7 – October 24
Member Price: $20.00 (includes a team t-shirt, no jerseys)
Program Participant Price: $40.00 (includes a team t-shirt)
Contact: Carrie Fox for more information
Additional Info:
Coaches Meeting: Wednesday, September 2 at 6:30p
Parents may pick up schedules and information at the Y after 3:00pm or at the Meet Your Coach
Night on Thursday September 3 at 5:30pm.
Practices begin the week of September 7th.
---------------------------------Parents keep top portion----------------------------
FALL -Youth Flag Football 2014
Member_______ Program Participant ______
T-shirt Size________ (YS, YM, YL, AS, AM)
Childs Name:________________________________________________Gender:_____
Age:________
Birth Date ____/____/____
Address: ________________________________________________
City:______________________ Zip:_________________
Phone:________________________________________ Secondary
Phone:__________________________________________
Parents / Guardian
Name:_________________________________________________Email:_________________
__________________________________
Emergency Contact: __________________________________________
Phone:_____________________________________
Relationship:_____________________________________________________
I hereby certify that my child is in normal health and capable of safe participation in the
youth sports program. I assume all risk and hazards incidental to the conduct of this
program and will provide transportation to and from the program. I hereby authorize the
YMCA to obtain medical treatment for my child in the event that the parent(s) and the
emergency contact cannot be reached. I support the YMCA Youth Sports Philosophy, which
is based on participation, fun, physical fitness, health and leadership.
If you have any time or date
conflicts for weekly
practices please include
them here. We will make
every effort to
accommodate them.
Thank you!
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TIFFIN COMMUNITY YMCA
Parent / Guardian
180 Summit Street, Tiffin, Ohio 44883
Signature:____________________________________________________________________
P
419
447
8711 F 419 447 8704 www.tiffinymca.org
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ATTENTION PARENTS: Our program needs volunteer coaches, assistant coaches and officials.
Since you’ll already be at the practices to watch your child, why not get out there and join
them? It’s a great way to become an even bigger part of their lives! Even if you do not have
Financial Assistance is available