Marietta Family YMCA

Youth Sports

 Floor Hockey (September) Youth Basketball

 Kiddie Kickers Soccer Indoor Soccer

 Golf Floor Hockey (January)

 Tumbling

Cost: Full Members: $28$2.00 Sibling Discount

Program Members: $46

Register one week before program or late fees will apply

Season (Winter/Spring/Summer/Fall): ______
Year: ______

Name ______Male ____ Female ____

Date of Birth ___ / ___ / ___ Current Grade _____ School______

Parent/Guardian ______

Address ______

City ______State ______Zip ______

Home Phone______Cell Phone______Email______

Emergency Contact ______Phone ______

Please list any allergies: ______

Years of previous flag football through the YMCA _____

Shirt Size (Circle one)

Youth S M L

Adult S M L XL

I hereby certify that my child is in normal health capable of safe participation in this 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 hereby authorize the YMCA to obtain medical treatment for my child in the event that the parents(s) and/or emergency contact cannot be reached.

Parent/Guardian Signature ______Date ___ / ___ / ___

THERE WILL BE A $5 FEE CHARGED TO ALL LATE REGISTRATIONS.

Forms must be mailed with payment or delivered to the Marietta Family YMCA, 300 N. Seventh St. Marietta, OH 45750. Call 373-2250.

The success of YMCA programs depends on caring adults volunteers willing to offer their time and talents to coach, referee and otherwise assist the character development of our youth. If you or someone you know would like to volunteer, please write your name and phone number below.

Coach ______Assistant Coach ______

Referee ______Other Volunteer ______

If you would like to volunteer your time, talents, your financial resources please contact our Member Services staff. Every minute and every dollar donated helps to build a stronger community.

Sponsorships

In an effort to generate more financial support for the Marietta Family YMCA programs, the YMCA is seeking sponsors for its teams. The cost of a sponsorship is $100. This helps to purchase shirts, end of season awards, and character development materials for coaches, officials, and parents. Sponsors receive promotion on team shirts and recognition in the football newsletter and in news releases to local newspapers and radio. This additional funding is essential for the YMCA to provide safe and fun sporting opportunities that focus on the YMCA effort to Build Strong Kids, Strong Families and Strong Communities. Please contact Roger G. Kalter, Youth Program Director at 373-2250, 373-0512 (fax), or email .

YMCA Mission: To put Christian principles into practice through programs that build healthy spirit, mind and body for all.