Recreation brochure - Mequon-Thiensville School District
Recreation brochure - Mequon-Thiensville School District
Recreation brochure - Mequon-Thiensville School District
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Youth Sports Continued 53<br />
FLAG FOOTBALL LEAGUE<br />
(Kindergarten-5th Grade)<br />
The M-T <strong>Recreation</strong> department will again be sponsoring a flag football league this fall for grades kindergarten through fifth<br />
grade. This is a very popular program!! There is no limit to the number of participants who register by the AUGUST 1 deadline.<br />
Three divisions will be created: Kindergarten & 1st graders, 2nd & 3rd graders, and 4th & 5th graders. When registering your<br />
child, please list height and weight.<br />
K-1st Grade: Practices and games will take place on Saturday mornings at Steffen Middle <strong>School</strong>. There will be a 30-minute<br />
practice followed by a 45-minute game each Saturday. All games and practices will take place at Steffen Middle <strong>School</strong>.<br />
2nd & 3rd Grade: There will be two Thursday evening practices on August 28th and September 4th (times to be announced).<br />
There will be a 30-minute practice followed by a 60-minute game each Saturday. All games and practices will take place at<br />
Steffen Middle <strong>School</strong>.<br />
4th & 5th Grade: Same structure as 2nd and 3rd grade.<br />
Teams will be coached by parent volunteers. For those interested in coaching, please state your interest on the<br />
registration form. There will be a coaches meeting on Tuesday, August 19th, 2014, at 6:00pm for K-1st grade and 7:00pm<br />
for 2nd – 5th Grade in Range Line Conference Room. All coaches MUST attend the coaches meeting. Coaching assignments<br />
will be sent out one week prior to the meeting.<br />
Officials Needed: High school age students are hired to officiate games. If you have an interest in officiating flag football,<br />
please contact the M-T <strong>Recreation</strong> Office at 262-238-7536.<br />
Ages:<br />
Kindergarten-5th Grade<br />
Location: Steffen Middle <strong>School</strong><br />
Dates: Saturdays, September 6, 13, 20, 27, October 4 & 11 (MAKEUP DATE OCT 18)<br />
K-1st Grade 8:30am – 9:45am Course #: 316001<br />
2nd-3rd Grade 10:00am – 11:30am Course #: 316002<br />
4th-5th Grade 8:30am – 10:00am Course #: 316003<br />
Fee: Resident $47/Non-Resident $55<br />
Registration: The deadline for registration is August 1, 2014. The deadline will be strictly adhered to allow time for<br />
making team assignments, ordering team shirts, securing equipment, and creating game schedules. Registration for<br />
flag football needs to be completed on the Flag Football Registration Form (different than the regular M-T <strong>Recreation</strong><br />
Registration Form). Height and weight need to be included on the form.<br />
FLAG FOOTBALL FORM – SUMMER 2014<br />
First/Last Name (person completing the form)<br />
Parent Email Address<br />
Address City Zip<br />
Home Phone Work/Day Phone Cell Phone<br />
Please note any special needs or comments:<br />
Player Name<br />
Birth Date<br />
Grade in Fall of 2014 ______ ____ Male ____ Female Height _________ Weight ________ (Ht. & Wt. necessary)<br />
Course #<br />
Fee<br />
If you want to play with a friend name individual. (only 1 allowed)<br />
All participants are requested to sign the following release. Parent or Guardians must sign for minors.<br />
Date Processed<br />
_______/_______/_______<br />
I/We the undersigned, do hereby agree to allow the above named to participate in the activity indicated. I am/We are aware<br />
of and understand that there may be potential risks inherent with participating in any recreational activities and that the<br />
<strong>Mequon</strong>-<strong>Thiensville</strong> <strong>School</strong> <strong>District</strong> and the M-T <strong>Recreation</strong> Department does not provide accident insurance. I/We assume<br />
all risks and hazards incidental to such participation including transportation to and from the activities and do hereby waive,<br />
release, absolve, indemnify and agree to hold harmless the M-T <strong>Recreation</strong> Department employees, staff, and other persons<br />
for any and all claims, injuries, liabilities, damage or right of action directly or indirectly arising out of use of M-T <strong>Recreation</strong><br />
Department activities. In the event of a medical emergency, I authorize the department staff to obtain medical treatment for<br />
the above named. I and my child hereby acknowledge having received education found on the<br />
Rec Dept website or in the Rec Dept office about the signs, symptoms, and risks of sport<br />
related concussions. I and my child acknowledge our responsibility to report to our coaches,<br />
parent(s)/guardian(s) any signs or symptoms of a concussion.<br />
SIGNATURE:<br />
DATE:<br />
Coaching Information: ___ Yes, I would like to be a Head Coach ___ Yes, I would like to be an Assistant Coach<br />
Name (W) Phone Email<br />
Who, if anyone, do you want to coach with (can’t guarantee more than three coaches per team)<br />
Payable to<br />
M-T <strong>Recreation</strong> Department<br />
11040 N. Range Line Rd<br />
<strong>Mequon</strong>, WI 53092<br />
____ Check<br />
____ Cash<br />
____ Credit Card<br />
____ MasterCard ____ Visa<br />
_____________________________<br />
Card #<br />
Expiration Date<br />
_________/_________<br />
Card Verification # _____________<br />
(See back of card)<br />
_____________________________<br />
Card Holder Name<br />
_____________________________<br />
Signature