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    Blastball Fall15

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    usmjacksonalum
    The document provides information about a Blastball program for boys and girls ages 3-4 at the Flowood YMCA. The program teaches fundamental skills like running, kicking, and exercises. There is a $65 registration fee and the deadline to register is August 31, 2015. The program needs volunteer coaches and parental involvement at practices. The form includes fields to provide the participant's name, contact information, and shirt size. It also allows the parent to indicate if they are willing to coach, be a team parent, or sponsor.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Blastball Fall15

    Uploaded by

    usmjacksonalum
    151 views1 page
    The document provides information about a Blastball program for boys and girls ages 3-4 at the Flowood YMCA. The program teaches fundamental skills like running, kicking, and exercises. There is a $65 registration fee and the deadline to register is August 31, 2015. The program needs volunteer coaches and parental involvement at practices. The form includes fields to provide the participant's name, contact information, and shirt size. It also allows the parent to indicate if they are willing to coach, be a team parent, or sponsor.

    Original Description:

    Rez YMCA Blastball Registration Form

    Original Title

    Blastball-Fall15

    Copyright

    © © All Rights Reserved

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    The document provides information about a Blastball program for boys and girls ages 3-4 at the Flowood YMCA. The program teaches fundamental skills like running, kicking, and exercises. There is a $65 registration fee and the deadline to register is August 31, 2015. The program needs volunteer coaches and parental involvement at practices. The form includes fields to provide the participant's name, contact information, and shirt size. It also allows the parent to indicate if they are willing to coach, be a team parent, or sponsor.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    151 views1 page

    Blastball Fall15

    Uploaded by

    usmjacksonalum
    The document provides information about a Blastball program for boys and girls ages 3-4 at the Flowood YMCA. The program teaches fundamental skills like running, kicking, and exercises. There is a $65 registration fee and the deadline to register is August 31, 2015. The program needs volunteer coaches and parental involvement at practices. The form includes fields to provide the participant's name, contact information, and shirt size. It also allows the parent to indicate if they are willing to coach, be a team parent, or sponsor.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    BLASTBALL

    BOYS & GIRLS


    AGES 3 & 4
    $65 Registration Fee

    Registration Deadline
    August 31, 2015
    Your child will learn the fundamentals of running with and
    kicking a ball, along with basic exercises. Accomplishment of
    the task means success!
    Volunteer Coaches are Needed (Parental involvement is
    paramount throughout the practice session.)

    Bring or mail form and payment to :


    FLOWOOD YMCA
    690 Liberty Road
    Flowood, MS 39232
    Questions?

    Contact Brent
    [email protected]
    601.664.1955
    Shirt Size (Circle size for participant) YXS

    Childs Name

    YS

    YM

    YL If unsure of size, see sample at the Y.

    Gender

    DOB

    Age

    State

    Zip

    Home Address

    City

    Mothers Name
    Fathers Name
    E-Mail Address
    Special Instructions/Requests

    Home/Cell Phone #
    Home/Cell Phone #

    I AM WILLING TO: ________COACH (Must Attend Coaches Meeting)


    ________BE A TEAM PARENT (Help with snacks, helping the coach with contacts, etc.) ________BE A TEAM SPONSOR
    Waiver of Liability, Disclaimer and Permission: I hereby forever release, acquit, discharge and agree to indemnify and hold harmless the YMCA and all event sponsors and volunteers, as well as any officers,
    directors, agents, employees, successors or assigns of the aforementioned parties, in addition to all other persons who are either directly, or indirectly involved with the activity in which the participant is
    registering (collectively the Released Parties), from any and all liabilities, claims, damages and demands and all other liabilities or whatever kind of nature arising from or related to the Y activity, including, but
    not limited to, any and all liabilities, claims damages and demands arising from any personal injuries, loss or death occurring as a result of the Y activity. I further agree that I will never institute any action or suit,
    at law, in equity or otherwise, against any of the Released Parties, and will not aid in the institution or prosecution of any such action or suit against the Released Parties which in any way involves or relates to
    the Y activity. I further state that I am in proper medical condition to participate in and complete the YMCA activity and am not participating against doctors advice, nor am I taking medications which would
    deter my health in the participation of the YMCA activity. If any act of God forces the cancellation of the Y activity, I understand that registration fees are non-refundable. This Release shall be binding upon the
    executors, administrators, personal representatives, heirs, successors and assigns of the undersigned. I also understand that there are no refunds for this program without a physicians written
    explanation of inability to participate. I give permission that my picture may be taken and used by the YMCA for publicity.
    Signature of Parent or Guardian________________________________________________

    Office Use Only: Amt Pd_______ Rcpt #_________ Date_______ Clerk_______ Balance________

    Date_______________________

    Paid By:

    Check

    Cash

    Credit Card

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