LOCATION:
Hutto Family YMCA
Includes:
•Jersey
•Trophy/Medal
YOUTH
AGE DIVISION
6U Coed
**Age as of Aug. 13th**
Summer Season2017
June 12th - August 13th
ymcagwc.org
INDOOR YOUTH BASKETBALL LEAGUE REGISTRATION FORM
NAME OF CHILD: ______BIRTHDATE:______/______/______
ADDRESS:______Age asof8/13/2017______CITY: ______STATE: ______ZIPCODE:______
PARENT NAME: ______UNIFORMSIZE:YXSYS YM YL AS AM
BEST CONTACT PHONE: ______EMAIL: ______
(Circle OneBelow)
All New Tiered Pricing
6U- Tuesday 5:30pm
Mar. 1st - May 20th: May 21st - June 1st: June 2nd - June 12th:
Member: $33 Non Member- $108 Member: $43 Non Member- $118 Member: $53 Non Member- $128
Summer (17YS3) Amt.Paid:______DateReceived:______Staff Initials:______
Hutto Family YMCA – Summer 2017
512.846.2360
Weekly Schedule
Week 1: Meet the coach and skilldevelopment
- Weeks 2-7: Skill development and gameplay
- Week8:SkillJamboreeandparticipationawards
Program Begins the Week of June 12th.
Withdrawal/Refunds/Transfers:
Financial Assistance: Practice and Games: Capacity Numbers:
YGametime:
Equipment and Uniforms: Pictures:
Coaching:
YMCA Rookie League:
Please inform the Youth Sports office if you are withdrawing your child from a sport for any reason, please note that there is $15.00 Processing Fee that will be charged for any withdrawal. The option to receive a refund or credit is at the discretion of the Youth Sports Director. Uniforms are NON-REFUNDABLE ($15) After uniforms are ordered, there will be an additional $15.00 fee to reorder a uniform. Int.______
Financial Assistance is available. Applications must be received by May 17th and are subject to age group/sport availability.
The new rookie model is a 50/50 developmental style league. Each team will meet once per week. Practice will take
place the first thirty minutes and game will follow for the remainder of the hour.
RegistrationmayendbeforeJune12thduetoreachingcapacity.Inthenewrookiemodel,weareonlyabletoaccept thefirst40participantstoregisterinthatdivision.Registerearlytoguaranteeyourspot!
Visit our web site for all updates and sports information.
AllequipmentanduniformswillbeprovidedbytheYMCA.Equipmentwillbeavailableatyourpracticelocation. Uniformswillbedistributedbythefirstgame.Uniformsconsistofareversibletop.Hometeamwears"Silver".
PicturedayisJuly15th.Wewillemailallparticipantsoncepicturedaysforleagueshavebeenfinalized.Pictureswill bedonebyATXPhoto.Pictureinformationandorderformswillbeonlineat(YGametime).Youwillneedtoorderand payforpicturesonpictureday.PictureswillbedirectlymailedtoyoufromATXPhoto
HeadCoachesandCo-HeadCoachesmustfilloutavolunteerapplicationandprovideacopyofyourdriver’slicense priortothestartoftheseason.Coachesmustcompleteavolunteerapplicationevery12months.
Follow the link to fill out the coaching application: goo.gl/jEnugm
YMCA Rookies is designed for the beginner who wants to experience youth sports once a week. Leagues are structured to allow for both practice and game experiences in the same day. Participants will learn new skills for 30 minutes and put those skills to the test during a short 30 minute game after the practice.
Please INITIAL or ANSWER all lines to indicate received written policies / materials and agree to terms with SIGNATURE below.
______ADA Policy (REQUIRED): Parents have the obligation to disclose significant, medical, physical or behavioral issues at the time of the child’senrollmentandonanongoingbasis.Duetothelargegroupformatofourprogram,weareunabletoprovideone-on-onecarefor any child except on an intermittent basis, such as injuries, immediate disciplinary issues and certain personal care needs customarily provided toother children.
______WaiverforMedicalTreatment(REQUIRED):IntheeventthatmychildrequiresemergencytreatmentandIcannotbereached,Ihereby authorizetheYtomakearrangementstotransportmychildtothenearesthospitalemergencyfacility.Ialsogivemyconsentforanyand allnecessarymedicaltreatment,if,infactmychildrequiretheattentionofaphysician.
______WaiverforParticipation(REQUIRED):IunderstandthatYactivitieshaveinherentrisksandIherebyassumeresponsibilityforallrisksand hazards to my child in the participation of these activities. I further waive, release, absolve, and agree to hold harmless the Y, the organizers, volunteers, supervisors, officers, directors, participants from any claims or injury sustained during my child’s use of the facilitiesorparticipationintheYprogram.
______WaiverforPhoto/Video/AudioRelease(OPTIONAL):Igivemyconsentforanyphotos,videoand/oraudiotakenofmychildinvolvedinYprogramstobeusedforYpromotions,trainingsand/ordisplays.
______Change/Cancellation/RefundPolicy(REQUIRED):Iunderstandthatchanges/cancellations/refundsarenotpermittedunlessa physiciansnote is submitted stating the inability to complete the class. A program cancellation form must be completed at the MemberServicesDeskandareallowedatthediscretionoftheprogramdirector.
______AdditionalNotes(REQUIRED):Financialassistanceisavailableforallthosewhoqualify.Foranyquestions,pleasecontactthe
Hutto Family YMCA at 512-846-2360.
Parent / Guardian Signature:
______
Hutto Family YMCA
200AllianceBlvd.• Hutto TX78634
P 512.846.2360 l ymcagwc.org/hutto
Date: ______