WINTER 2018-2019 SPORTS PROGRAM - ymcacnm.org

1 BE A TEAM PLAYER WINTER 2018 -2019 SPORTS PROGRAMM onday, December 3, 2018 - Saturday, March 2, 2019 YMCA youth SPORTS programs encourage healthy competition, the valueof participating, team building and individual Y s volunteer coaches emphasize skill development and always having fun! Registration: October 29 - December 3 (late fee applied after December 3)Practices start on Monday, December 3rd Itty Bitty SPORTS : (3-4 Years Old) 1 Class Per Week Basketball Indoor Soccer (3-5)Basketball League: 1 Practice & 1 Game Per WeekVolleyball League: 1 Practice & 1 Game Per Week*Competitive , Ages 8-18 *Non-Competitive, Ages 9-12 Techniques of Volleyball: Ages 6-10 1 Class per weekBasketball Skills Training: Ages 6-14 1 Class per weekCOST:Itty Bitty, Non-Competitive & Techniques $95 Members $115 Non-MembersCompetitive $125 Members $145 Non-MembersLate fee of $25 will be assessed after December 3rdEARLY BIRD DISCOUNT - $10 off all registrations made between October 22 - 28 Register at either YMCA location or online @ FAMILY YMCA 4901 Indian School Rd NE, Albuquerque, NM 87110 (505) 595-1515 MCLEOD FAMILY YMCA 12500 Comanche Rd NE, Albuquerque, NM 87111 (505) 595-1515 , Ages 8-18 WINTER 2018 -2019 SPORTS REGISTRATION Sport ___ Basketball (IB) (Ages 3-4) ___ Soccer (IB) (Ages 3-5) ___ Basketball (5-8) Non-Competitive ___ Basketball (8-17) Competitive ___ Volleyball League (8-18) Competitive ___ Techniques of Volleyball (6-10) 1 Class Per Week Participant Name _____ DOB _____ Age _____ Gender _____Address_____City_____Zip_____ Parent/Guardian Name.

2 _____ Email_____ Cell Phone _____ Coach Request _____ Player/Team Request _____ Emergency Contact (other than Parent/Guardian)_____ Phone _____Health C oncerns _____Y _____N If yes, please explain _____ Jersey S ize (circle one) YXS YS YM YL AS AM AL AXL (Itty Bitty only) Itty Bitty, Non-Competitive & Techniques Competitive ___ $95 YMCA Member ____ $115 Non-Member ____ $1 45 Non Member Any registrations after December3rd: ___ $125 YMCA Member _____ $25 Late Fee I d like to volunteer as a: _____Coach _____ Assistant Coach Name:_____ Phone_____ E-mail _____ PARTICIPATION & PUBLICITY RELEASE The YMCA of Central New Mexico will not assume responsibility for any injury incurred while participating in any athletic events, childcare programs, parent/child & outings, special events, SPORTS programs or any related YMCA sponsored activities. Certain risks of injury are inherent during participation in these programs and events.

3 Nor will the YMCA be responsible for any lost or stolen items while members and/or PROGRAM participants are using YMCA facilities, on YMCA premises or off-site YMCA PROGRAM locations. I understand for myself and my heirs, do hereby release the YMCA and its employees and agents from any and all claims for injury, loss or damage I may suffer as a result of my participation, including any injury caused by the negligence, if any, of the YMCA, its officers, employees, agents, volunteers or the negligence of anyone else. I give my permission to the YMCA to use photographs, film footage, or tape recordings, which may include my image or voice for purposes of promoting or interpreting YMCA programs for no compensation. Participating in facility activities, programs, and use of facility equipment is at your own risk. Each participant agrees to indemnify and hold any facility owner or landlord harmless from any injury occurring in any portion of the facility's premises. $20 Refund Fee if there are no other available Guardian Signature_____ Date_____ Any additional questions contact the SPORTS Director, Arturo Padilla at ____ Basketball SkillsTraining ( 6-14)