YMCA Track & Field
Registration Form
Player’s Name: _______________________________________
Address: ______________________ City:__________________
DOB:____/____/____School: ______________Grade:______
Parent Name(s): ______________________________________
Phone: ____________ (Primary) ____________ (Other)
Email: __________________________________________________
(For sending out information)
T-Shirt Size: Youth: S (6-8) M (10-12) L (14-16) Adult: S M L
PARENT AGREEMENT
1. I hereby certify that my child is in normal health and capable of safe
participation in the youth sports program. I assume all risk(s) and hazards
incidental to the conduct of this program and for the transportation to and
from the program. I herby authorize the YMCA to obtain medical treatment for
my child in the event that parent(s) cannot be reached.
2. I support YMCA Youth Sports philosophy, which is based on fun, fair play,
participation, physical fitness and health, skill development, teamwork, family
involvement, and volunteer leadership.
3. I understand that teams are divided by schools and grades and that the YMCA
will try to meet parent requests, but not all requests may be granted.
_______________________________________________________
Signature of Parent or Guardian
Date
HAVE FUN
RUN FAST
TRACK & FIELD
APPLETON YMCA
Saturdays, Apr 30 - May 21
Boys & Girls Grades K-6 (for 2015-16 school year)
Practices held at St. Francis Xavier Middle School
Final Track Meet is May 21 at Appleton North High School
8:30 AM - 12:00 PM (final times may vary)
Registration begins: March 1
Registration closes: April 22
Registration March 1 – April 22
YMCA Members
YMCA Youth Members
General Public
$10
$24
$44
Our Mission: To put Christian principles into practice by promoting youth,
adult and family activities that build a healthy spirit, mind and body for all.
Program Information
This program will give kids the opportunity to run track. All players will
participate in three to four events. The elements of fun, fitness, fair
play, skill development, and family involvement are emphasized. Three
weeks of practice are culminated in a association wide track meet. The
goal of the YMCA is to provide participants a great place to learn Track
and Field while having fun! The YMCA staff also run “Team Huddles”
each week to talk about the four core values of the YMCA which are
Caring, Honesty, Respect and Responsibility.
All participants will receive a track t-shirt!
The Track & Field Season will run for four weeks on Saturdays at
St. Francis Xavier Middle School from April 30-May 21. The final week
will be a track meet held at Appleton North High School.
The Track Meet will feature the softball toss and long jump for all participants. Children will also get to select from the following races—50,
100, 200, and 400. Grade 3-6 will also have the opportunity to opt for
the 800.
Registration Information
Register online or at the Appleton YMCA Member Services
Desk. The completed form as well as payment are
required to register.
Full Season (Track Meet Included):
Fox Cities YMCA Family Member:
YMCA Youth Member:
General Public:
$10
$24
$44
Track Meet ONLY Option:
Fox Cities YMCA Family Member:
YMCA Youth Member:
General Public:
$10
$10
$10
* After April 22nd, an extra $10 late registration fee will be charged
and registrations will only be taken if space is still available. Space is
limited for each grade level!
Race times will depend on registration numbers.
Volunteer Parent Coaches Needed!
Parent volunteer coaches are a big part of making our programs
successful. If you would like to help coach this season, please sign your
name on the registration form. Practice ideas and drills will be shared
and discussed as the season gets closer.
Grade K-2
10:30-11:45 AM
Grade 3-6
9:00-10:15 AM
Yes, I am interested in coaching
Name: _____________________________________________
Best phone number to reach you: ________________________
If you have any questions, please contact:
Ryan Shanklin, Sports & Recreation Coordinator at 920.954.7622 or
[email protected]
Email Address: _______________________________________
(Most information will be communicated through email)