! ! ! ,- ! ! /0. / !. , 0-. 12 3-4 4. , GENERAL RELEASE OF LIABILITY AND INDEMNIFICATION In agreeing to participate in this program, I affirm that the general health of the named participant is g ood and that the named.

 

Office UseOnlyReceipt Amount Paid Date Paid Received By Late Fee Age Group City of Fort Lupton Recreation Department Sports Registration.

 

BBB BBB ĂŶnjĂ ĞŶ ŐƌƵƉŽ BBB sſůŝďŽů BBB ĠŝƐďŽů BBB 6RIWEŽů BBBd- ďŽů BBB ƷƚďŽů BBB ƷƚďŽů ĚĞ ďĂŶĚĞƌĂ BBB ƷƚďŽů ĚĞ ĂďŽƌĚĂƌ ,QIRUPDFLyQ.

 

Ƶďŵŝƚ ƚŚŝƐ ĐŽŵƉůĞƚĞĚ ĂŶĚ ƐŝŐŶĞĚ ĨŽƌŵ ĂůŽŶŐ ǁŝƚŚ Ă ĐŽƉLJ ŽĨ ƉĂƌƚŝĐŝƉĂŶƚ͛Ɛ ďŝƌƚŚ ĐĞƌƚŝĨŝĐĂƚĞ ƚŽ ƚŚĞ Fuquay - Varina Parks, Recreation and Cultural.

 

St. BenedictÕs Athletic Association Fall Winter Spring Circle Appropriate Season Sports MUST USE SCHOOL PHYSICAL FORM Students First.

 

! ! ! ! ! ! !! ! ! , ! ,-. ! , / 0 , - 1 2 0 ,-3, - 2 4. -. / - 0 1 / / - / 2 - 0 1 -3 , 4 5 - -30 - - 3 , , 3 ,- 6 -. 3 4 789. 99 : 0; 7. 99 : 0; ! 7. 99 : - 0; 7 9. 99 : - 0; ! - 5 3 - - 2 2 - 2 / 7 7 9 7 7 9 7 - : 31 3 - , ; / , 63, , 3 , /. ! !! 3 3 3

 

FOR OFFICE USE ONLY B/C on Amt. Paid for Amt. Paid for CK Date :____________ Male______ Female______ Player’s Weight FOOTBALL ONLY Player’s Legal As appears on Birth.

 

Please provide the applicable information below. For details about programs, see www. nearbynature. org or request a copy of our Youth Programs Brochure. We will contact.

 

Check all that apply: Coach Fund Raise Concessions Maintain Fields Gate Attendant Assist Officials.

 

REGISTRATION FORM Waiver Requests: I, request my child, _____________ be placed in see below : Please CIRCLE Age Division: SOCCER LITTLE LEAGUE Under.

 

! ! !! , ! , - ! ,. ! / 0 , , , 1 2. 2 ! !. , ! ! 3 , ! ! 4 , 56. 3. 3 7 7 ,. !!. ! ,. ! 8 3 ! 3. ! ! , 3. , ! , 9 ! 3 3 ! , ! ! 8. 7 5 6 A5 BA 4 C ! / 466 D. 7 5 45 6 A EBEFA6 ! 4 E : ;. 7 5 A 6 AF B65 E ! 5 E. 7 5 5 6 54FBF FF ! ! ! ! ! ! ! ! ! ! ! ! !

 

Practice/Games will last only 1 hour. Games times will be determined after the registration deadline. Address City State ______.

 

Cedarburg Parks and Recreation 2012 Youth T-Ball / Baseball / Softball Registration PLEASE READ ALL INFORMATION CAREFULLY BEFORE COMPLETING FORM.

 

YOUTH BASKETBALL Summer 2012 PLEASE PRINT USE CURRENT GRADE 2011 - 2012 SCHOOL YEAR CURRENT PARENT NAME: PHONE:.

 

! ! !! , ! , - ! ,. ! / 0 , , , 1 2. 2 ! !. , ! ! 3 , ! ! 4 , 56. 3. 3 7 7 ,. !!. ! ,. ! 8 3 ! 3. ! ! , 3. , ! , 9 ! 3 3 ! , ! ! 8. 7 5 6 A5 BA 4 C ! / 466 D. 7 5 45 6 A EBEFA6 ! 4 E : ;. 7 5 A 6 AF B65 E ! 5 E. 7 5 5 6 54FBF FF ! ! ! ! ! ! ! ! ! ! ! ! !

 

Youth Sports League Registration I am registering for: ͚ Baseball K-6, Grade in FALL2012 Deadline 4/6/12 43/ 39 ͚ Baseball 7-12, Grade in FALL2012.

 

Office UseOnly _________ ______________ ___________ StaffInt AmountPaid Date 10YS3 Twin Lakes FamilyYMCA S ummer Youth S ports June.

 

! ! , ! ! - -. ! /! ! 0 ! 1 ! 1 ! 1 - ! ! ! 1 2 / 3 4 5 6 4 54 1 6 ! 5 / 67 8 1 9 8 / 1 5 :67 8 1 9 8 / 1 1 1 - ! ; ! 9 ! 7 7 ; 7 7 0 9 7 / 7 A7 , -. - - / / 5 6 /B 1 / 1 / 1 / 1 / / / 5 6 /B !/ / !/ / / ! C / 5 6 / !/ / !/ E.

 

Watauga Youth Sports Leagues One Form Per Participant Last Name First Age___ Birthdate Attending Home Phone Work Have.

 

Office UseOnly _________ ______________ ___________ StaffInt AmountPaid Date 10YS3 Twin Lakes FamilyYMCA S ummer Youth S ports June.

 

4 - 12 years old divisions listed below Registration Dates: Early: Oct1st²Nov 13th Regular: Nov14th²Dec 10th Registrations will only be accepted.

 

Sport: Age:______ Address City State ______ Zip _____________ Do you live in the City of Cincinnati limits Yes No Total number of people in your household.

 

Office UseOnly _________ ______________ ___________ StaffInt AmountPaid Date 10YS3 Twin Lakes FamilyYMCA S ummer Youth S ports June.

 

! ! JERRY LONG FAMILYYMCA 1150 South Peacehaven Road, Clemmons NC 27012 P 336 7122000 F 336 712 2005 www. jerrylong ymca. org Our Mission: ÒHelping people.

 

Twin Lakes FamilyYMCA Fall Youth Sports September 10 – November19, 2011 Member Registration begins June,25th / Community Registration begins.

 

Twin Lakes FamilyYMCA Fall Youth Sports September 10 – November19, 2011 Member Registration begins June,25th / Community Registration begins.

 

я ГPВD ¤L†Н 2 §W€‡ ©ЙУЦНnП.

 

4 - 15 years old divisions listed below Registration Dates for Season: April2nd²May 15th Registrations will only be accepted after the registration deadline.

 

Edward Jones FamilyYMCA 12521 Marine Ave, St. Louis, MO 63146 P 314 4399622 F 314 439 9667 www. ymcastlouis. org SUMMER 2012: YOUTH SPORTS EDWARD.

 

Youth Sports Name Recreation ID _______________ ResidentID Birth Date ___________ Age _____ T- shirt Size: Youth S M L XL Adult S M L XL Name ______.

 

385 West Hanes Mill Road, Winston - Salem NC 27105 P 336 661 1093 F 336 661 2078 www. myfultonymca. org 2XU 0LVVLRQ ² HOSLQJ SHRSOH UHDFK WKHLU RG - given.

 

JERRYLONG FAMILYYMCA 1150 South Peacehaven Road, Clemmons N C 27012 P 336 7122000 F 336 7122005 www. jerrylong ymca. org 2XU 0LVVLRQ ² HOSLQJ SHRSOH UHDFK.

 

! , -. / 0 0 0. 0 1 - 2 3 ! 3 4 5 6 7 6 8 0 7 ! 6 - 79 : 0 3 :5 - 0 6 ;79 : 0 3 : - 0 0. 0 ! 3 9 9 89 2 9 x-2. 0;斔 x 2. 4;授 x-2. 5;╩ x9-4. ;慒 x1 -1;㡄 x. 522; x. 817; x46 4; x. 202; x61-6; x. 975; x87-1; x6. 73; x97 4; x. 202; x61 4; x. 255; x669

 

KAUFMAN COUNTY FAMILY YMCA YOUTH SPORTS REGISTRATION FORM D. O. B. ___________ M ____ F_____ Home Cell Number________ _______________ E-mai1.

 

4 - 14 years old divisions listed below Registration Dates: Early: Regular: Registrations will only be accepted after the registration deadline, if open.