HAVE FUN RUN FAST - YMCA of the Fox Cities

YMCA Track & Field
Registration Form
Player’s Name: _______________________________________
Address: ______________________ City:__________________
DOB:____/____/____School: ______________Grade:______
Parent Name(s): ______________________________________
Phone: ____________ (Primary) ____________ (Other)
Email: __________________________________________________
(For sending out information)
T-Shirt Size: Youth: S (6-8) M (10-12) L (14-16) Adult: S M L
(We will make every effort possible to give your child the jersey size requested, but
this is not always possible based on ordering deadlines.)
1. I hereby certify that my child is in normal health and capable of safe
participation in the youth sports program. I assume all risk(s) and hazards
incidental to the conduct of this program and for the transportation to and
from the program. I herby authorize the YMCA to obtain medical treatment for
my child in the event that parent(s) cannot be reached.
2. I support YMCA Youth Sports philosophy, which is based on fun, fair play,
participation, physical fitness and health, skill development, teamwork, family
involvement, and volunteer leadership.
3. I understand that teams are divided by schools and grades and that the YMCA
will try to meet parent requests, but not all requests may be granted.
Signature of Parent or Guardian
Saturdays, Apr 25 - May 16
Boys & Girls Grades K-6 (for 2014-15 school year)
Practices held at St. Francis Xavier Middle School
Final Track Meet is May 16 at Shattuck Middle School
8:30 AM - 12:00 PM (final times may vary)
Registration begins: March 1
Registration closes: April 19
Registration March 1 – April 19
YMCA Members
YMCA Youth Members
General Public
Our Mission: To put Christian principles into practice by promoting youth,
adult and family activities that build a healthy spirit, mind and body for all.
Program Information
This program will give kids the opportunity to run track. All players will
participate in three—four events. The elements of fun, fitness, fair play,
skill development, and family involvement are emphasized. Three
weeks of practice are culminated in a association track meet. The goal
of the YMCA is to provide participants a great place to learn soccer while
having fun! The YMCA staff also run “Team Huddles” each week to talk
about the four core values of the YMCA which are Caring, Honesty,
Respect and Responsibility.
All participants will receive a track t-shirt!
The Track & Field Season will run for four weeks on Saturdays at
St. Francis Xavier Middle School from April 25-May 9. The final week
will be a track meet held at Shattuck Middle School in Neenah.
The Track Meet will feature the softball toss and long jump for all participants. Children will also get to select from the following races—50,
100, 200, and 400. Grade 3-6 will also have the opportunity to opt for
the 800.
Registration Information
Register at the Appleton YMCA Member Services Desk.
The completed form as well as payment are
required to register. Phone, fax, and mail registrations
are not allowed. Online registration is also available.
Be sure to first complete the form online and then
click to complete the payment section.
Fox Cities YMCA Family Member:
YMCA Youth Member:
General Public:
Grade K-2
10:30-11:45 AM
Grade 3-6
9:00-10:15 AM
Race times will depend on registration numbers.
Volunteer Parent Coaches Needed!
Parent volunteer coaches are a big part of making our programs
successful. If you would like to help coach your child’s team, please
sign your name on the registration form. Practice ideas will be
available for all coaches at the Coaches Meeting.
Yes, I am interested in coaching
Name: _____________________________________________
Best phone number to reach you: ________________________
Email Address: _______________________________________
(Most information will be communicated through email)
Circle one: Head or Assistant or Either
Any Coach’s Requests: ________________________________
If you have any questions, please contact:
Ryan Shanklin, Sports & Recreation Coordinator at 920.954.7622 or
[email protected]