Email address: _______________________________________
Player’s Name: ______________________________________
Shirt Size: Adult: S M L XL XXL (please circle one)
Address:
Home Ph#: __________________ Cell: _________________
Emergency Contact: ________________________ ph#: ______________
I will
volunteer to: ___ Coach ___ Assist ___ Other
Ph #_______________
REGISTRATION INFORMATION:
DEADLINE: March 21, 2008
No T-shirts ordered for late registrations.
Please register at the Klamath County Family YMCA, 1221
Recreation league teams:
COST: $50.00 for YMCA members / $60.00 for community
No Refunds of Registration Fees
To the best of my knowledge I am healthy and should have no physical problems upon participating in the sports programs offered by the YMCA. I understand that the YMCA assumes no financial obligation for any injury that may occur. In the event of emergency, I give my permission to the YMCA to hospitalize and secure proper medical treatment for me. I also agree to behave with respect to YMCA. Others (i.e., coaches, referees, other parents and spectators, and youth) involved in the sports programs offered by the YMCA
Signed: _________________________________________ Date: ____________________
Parent/Guardian Name ______________________________________________
Required for players 17 years or younger.