Twin Lakes Family YMCA Spring Youth Sports

Steiner Ranch
Spring Youth Sports
March 19 th – May 25 th , 2012
Member Registration begins January 2 nd / Community Registration begins January 14 th
Registration Deadline February 4 th , 2012 ($25 late fee will be applied starting 2/5/12)
□Volleyball (co-ed 3 rd – 8 th grade)
FEES:
YMCA Family Member – Free + Game Plan
Community Member - $75 + Game Plan
DIVISIONS (please check one)
___ 3 rd / 4 th Grade ___ 5 th / 6 th Grade ___7 th / 8 th Grade
□Basketball (5yr/K - 4 th grade)
FEES:
YMCA Family Member – Free + Game Plan
Community Member - $75 + Game Plan
DIVISIONS: (please check one)
__5yr/K coed __1 st /2 nd Grade Girls __3 rd /4 th Grade Girls
__1 st /2 nd Grade Boys
*must have registered 32 players per age division
__3 rd /4 th Grade Boys
□ Game Plan Uniform Package:
$30.00 Includes:
You will receive a jersey with a
number, shorts, socks, and a trophy.
Jersey Size: YXS__YS__ YM__ YL__ AS__ AM__ AL__AXL __ Short Size: YXS__ YS__ YM__ YL__ AS__ AM__ AL__ AXL__
THE YMCA IS ALWAYS LOOKING FOR VOLUNTEER HEAD COACHES AND CO-HEAD COACHES
If you are interested, please list preference below, fill out a volunteer application and have front desk get a copy of your driver’s license when you register your child.
I would like to volunteer as:
Head Coach:
Co-Head Coach:
Email Address:
Participants Name Sex (M) (F) Age Grade
Address Birthdate / /
City State Zip Home Phone ( )
Email address
School Attending
Parent/Guardian Names Cell Phone ( )
Player Request
Coach Request
Register in Person:
Saturday, January 21 st
1:00pm -- 3:00pm
Four Points Middle School
Cafeteria
Saturday, February 4 th
1:00pm – 3:00pm
Canyon Ridge Middle School
Cafeteria
Preferred Practice Day/Time:
Practice Day Request
Practice Time Request
Mail Registration Form &
Fee to:
Twin Lakes Family YMCA
Attn: Sports Department
204 E Little Elm Trail
Cedar Park, TX 78613
*Forms not post marked on or after
February 4 th must include a $25 late fee
An attempt to honor requests will be made, but REQUESTS ARE NOT GUARANTEED.
PERMISSION FOR TRANSPORTATION: The YMCA Staff has my permission to transport my child to and from program location in the event of an emergency. I understand reasonable precautions will be taken to ensure the safety and supervision of my child.
MEDICAL WAIVER: In the event that my child requires emergency medical treatment and I cannot be reached, I hereby authorize the YMCA Staff to make arrangements to transport my child to the nearest hospital/emergency medical facility. I give my consent for any and
all necessary medical treatment, if, in fact, my child requires the attention of a physician.
WAIVER: I understand that YMCA activities have inherent risks and I hereby assume all risks and hazards incident to my participation in all YMCA activities including transportation to and from said activities. I further waive, release, absolve, indemnify,
and agree to hold harmless the YMCA, the organizers, volunteers, supervisors, officers, directors, participants, coaches, referees as well as persons or parents transporting participants to or from such activities from any claims or injury sustained during my
use of YMCA facilities or participation in any YMCA activity whether located on YMCA property or not.
PHOTO RELEASE: I give my consent for pictures taken of my child involved in YMCA programs to be used for future YMCA promotions or display.
REFUND/TRANSFER POLICY: I understand that the YMCA has no refund policy. Details of the policy are available at the Member Services Desk.
PARENT’S/GUARDIAN ACKNOWLEDGEMENT: This is to acknowledge that I have read and agree to the above information. Int.____________
Parent Signature
Date
APPROVAL OF THIS ORGANIZATION AND ITS ACTIVITIES ARE IN NO WAY AN ENDORSEMENT OF OR SPONSORED BY
LEANDER INDEPENDENT SCHOOL DISTRICT
12YS2