PASADENA YMCA 2014 Winter Basketball Registration Form

Transcription

1 PASADENA YMCA 2014 Winter Basketball Registration Form Child s Name: Date of Birth: Sex: M F Address City Zip School Height Age Grade Mother s Name Daytime Phone Father s Name Daytime Phone Signature: Best VOLUNTEER COACH/LEAGUE VOLUNTEER Our youth sports programs provide parents the opportunity to support their child and others in the development of a new skill, sportsmanship and team work. We NEED you! If you are interested in coaching or volunteering please complete the information below. Name: Year of Experience: Please check box: Coach League Volunteer (to assist with uniform distribution, parent night, trophy distribution, etc ) Coaches Meeting December 17 th from 6:30-7:30PM South Pasadena Y, 1605 Garfield Ave., So Pasadena Program Cost: $125 includes NEW uniform Uniform Size Youth Extra Small Youth Small Youth Medium Youth Large Youth X-Large Adult Small Adult Medium Adult Large Uniforms are ordered two weeks prior to the start of the season, any registrations received after the order may experience a delay in receiving uniform.

2 EMERGENCY TREATMENT AUTHORIZATION Child s Name Sex: M F BIRTH I hereby grant permission for my child to use all of the play equipment and participate in all of the activities of the YMCA Program. I hereby grant permission for my child to leave the YMCA Program premises under the supervision of a staff member for neighborhood walks or field trips in authorized vehicles. I hereby grant permission for my child to be included in evaluation and pictures connected with YMCA Program. The undersigned, as the parent(s) or legal guardian(s) of the above-named person, (the minor ) authorize YMCA of Metropolitan Los Angeles and its employees, directors and adult volunteers (collectively YMCA ) to consent to any x-ray, anesthetic, dental or surgical diagnosis or treatment and hospital care (collectively dental care ) to be rendered to the minor by a dentist licensed under the law of the State or other jurisdiction in which dental care is sought. For the purpose of medical care or dental care obtained outside of California, this authorization is given with the intent that any consent given pursuant to this authorization shall be the consent of each of the undersigned. The undersigned understand and agree that YMCA shall not be legally or financially liable for any bill or medical expense incurred, or for any cause of action or claim arising from any medical care or dental care provided, or the lack of medical care or dental care. The undersigned hereby agree to indemnity, defend and hold YMCA harmless from any claim made by or on behalf of minor s heirs or parents or guardian arising out of any medical care or dental care provided. NOTE: The YMCA requests that if the minor is in the custody of parents or more than one legal guardian, both or all sign this authorization. The YMCA understands that the minor is in the custody only of the person(s) who have signed this authorization. If for religious reasons you cannot sign this, the branch must be contacted for a legal waiver, which must be signed for attendance SPECIAL HEALTH CONSIDERATION /ALLERGIES:

3 YMCA WINTER BASKETBALL PARENT CONTRACT I, to ensure the safety and integrity of the participants in the YMCA Youth Sports programs, hereby agree to abide by all the rules and guidelines established by the YMCA Youth Sports League. I will ensure that the members of my family and friends who may be participating in the YMCA programs will also abide by all rules and guidelines. I agree to the following: 1. I will praise the success of each player, regardless of which team the player is on. 2. I will offer genuine thanks to the referees and league directors volunteering their time to benefit our children. 3. I will support the decisions of my child s coach and ensure my child is on time for practice and games. I will also pick my child up promptly following the completion of practice. 4. I will support the YMCA and its programs, helping as much as possible when asked. 5. If I have a concern about someone else s behavior, I will contact the YMCA Gym Supervisor located on site or contact the YMCA Administrative offices at I realize that we are guests in the gyms that we use. I will ensure all facilities care for according onsite gym use rules. This includes only bringing water into the gyms (i.e. not chips or Gatorade), removing any trash from the gyms, and keeping my children off of other school equipment. 7. I realize that we are guests in the neighborhoods that surround the gyms. I will do my best to respect the privacy of the people in the immediate area. This includes being quiet outside of the gyms and parking in school parking lots (as opposed to in front of people s houses) whenever possible. If I fail to follow these rules and guidelines, I understand that I may be asked to leave the gym.

4 YMCA WINTER BASKETBALL PARENT CONTRACT (PARENT COPY) To ensure the safety and integrity of the participants in the YMCA Youth Sports programs, I hereby agree to abide by all the rules and guidelines established by the YMCA Youth Sports League. I will ensure that the members of my family and friends who may be participating in the YMCA programs will also abide by all rules and guidelines. If I fail to follow these rules and guidelines, I understand that I may be asked to leave the gym. I agree to the following: 1. I will praise the success of each player, regardless of which team the player is on. 2. I will offer genuine thanks to the referees and league directors volunteering their time to benefit our children. 3. I will support the decisions of my child s coach and ensure my child is on time for practice and games. I will also pick my child up promptly following the completion of practice. 4. I will support the YMCA and its programs, helping as much as possible when asked. 5. If I have a concern about someone else s behavior, I will contact the YMCA Gym Supervisor located on site or contact the YMCA Administrative offices at I understand that we are guests in the gyms that we use. I will ensure all facilities care for according onsite gym use rules. This includes only bringing water into the gyms (i.e. not chips or Gatorade), removing any trash from the gyms, and keeping my children off of other school equipment. 7. I understand that we are guests in the neighborhoods that surround the gyms. I will do my best to respect the privacy of the people in the immediate area. This includes being quiet outside of the gyms and parking in school parking lots (as opposed to in front of people s houses) whenever possible.

5 PASADENA YMCA Winter 2014 Jr. Lakers Basketball League Parent Information Sheet Parent Night There will be an informational meeting for all parents at the Coral Center on December 10 th from 6-7 PM. We will cover league rules, policies, and traditions. Where and when are the practices? Most practices will be held at the Coral Center on weeknights. The first practice will be held the week of January 6 th, Where and when are the games? Games will be held on Saturday s. Games are scheduled to be held at the Coral Center, South Pasadena Middle School, and Pasadena City College. Depending on age/division. What is required? The NEW Jr. Lakers League uniform. Attend Parents night. Attend the Clinic/Skill Assessment. Where and when is the Clinic/Skills Assessment? Skills assessment will be held on December 7 th, 3PM at the Coral Center. Check website for further details: Will you honor any special requests? Due to the size of the league, we cannot honor special requests (i.e. practice days, coaches, others on the same team, etc ). Please consider this prior to registration as there is a $25 non-refundable deposit taken once your registration form is processed. Contact Information: Pasadena YMCA Administration Office