2016 Stamford Athlete/Artist Interest Form
Athlete/Artist Name: ______
Date of Birth ______
Participant’s age by July 31, 2016______
(Must be ages 13-16 for Team Sports, 12-16 for Individual Sports, and 12-17 for ArtsFest)
Home Address: ______
City: ______State: ______Zip Code: ______
Athlete/Artist Home Phone: ______Cell Phone:______
Athlete/Artist Email: ______
Mother’s Name: ______
Mother’s Work #: ______Mother’s Cell: ______
Mother’s Email: ______
Father’s Name: ______
Father’s Work #: ______Father’sCell:______
Father’s Email: ______
JCC Member: (please circle)YesNo
See back of page to select sports and arts of interest
Sports and Art Specialty of Interest
Please indicate your selections by placing a “1” next to your first choice, a “2” next to your second choice and a “3” next to your third choice. A child cannot participant in both a sport and art specialty.
Team Sports (must be ages 13-16 by 7/31/16)
14U Baseball _____
16U Baseball _____
14U Boys Basketball _____
16U Boys Basketball _____
16U Girls Basketball _____
14U Boys Soccer _____
16U Boys Soccer _____
16U Girls Soccer _____
16U Boys Lacrosse _____
16U Girls Lacrosse _____
16U Boys In-line Hockey _____
16U Girls Volleyball_____
Individual Sports (must be ages 12-16
by 7/31/16)
12-16 Boys/Girls Swimming _____
12-16 Boys/Girls Tennis _____
12-16 Boys/Girls Table Tennis _____
12-16 Boys/Girls Dance _____
12-16 Boys/Girls Golf _____
ArtsFest (boys and girls must be ages 12-17 by 7/31/16)
Acting/Improv _____
Dance _____
Musical Theater _____
Rock Band _____
Culinary _____
Star Reporter _____
Visual Arts _____
Vocal Performance/Glee _____
To be considered for participation in the 2016 JCC Maccabi Games, each athlete must attend try-outs (per sport) if necessary. Participating in tryouts does not guarantee selection for a sport. Coaches in consultation with the JCC staff will determine rosters. Families will be notified of selection upon completion of tryouts. Selection will only be communicated by JCC staff; parents and athletes agree not to contact coaches directly to determine their status. Athletes who wish to be considered for multiple sports must meet the tryout requirements for each sport.
How does an artist register?
All interested artists can apply online. Applicants will be asked to provide some basic personal information, answer a few questions based on their chosen specialty, and may be asked to submit a video sample of their work. Application instructions can be found by visiting
NEW FOR 2016
Since Stamford is a host community for the 2016 JCC Maccabi Games & ArtsFest, each teen participant’s family must host at least 2 other athletes or artists from a visiting delegation during the week of August 7-12, 2016. This is a requirement in order for your child to participate in the JCC Maccabi Games & ArtsFest in 2016. Questions about this requirement should be directed to Rachel Rothman, JCC Maccabi Games & ArtsFest Director at or 203-487-0949
How many visiting athletes or artists would you be willing to host in your home? _____
I have read and understood the above.
Parent Signature ______Date______
For more information, contact Mo Concepcion at (203) 487-0973 or .
Please drop off, mail or fax this form to
Mo Concepcion
1035 Newfield Avenue
Stamford, CT 06905Fax: 203-329-7546