KICK IT INTO ACTION
KICK IT INTO ACTION HILLTOP FAMILY YMCA: FALL YOUTH SOCCER Y Soccer is designed to teach the basic skills of soccer to children who have never played the game and improve the skills of those who have. Focus will be on ball control, rules and regulations of the game, team work, sportsmanship and fair play for all. YMCA core values will be emphasized throughout the season. All practices and games will be held on our Front Field, unless rained out.
COST: $65 members, $90 nonmembers
LITTLE KICKERS Preschool League (ages 3-5 yrs old) The season starts September 24th for this league. Practice is 30 minutes before games on Saturdays and games will be 30 min long . Their time will run between from 9-10:15am.
SOCCER STARS Kindergarten– 1st grade League (ages 5-8 yrs old) The season starts September 24th for this league. Practice is every Monday or Tuesday from 5-6pm. Games are 1 hr long (including Warm up, opening ceremony, half time, and the actual game) every Saturday from 10:30-11:30am.
HOW DO I REGISTER? Stop by our Welcome Center to register! Fill out the back of this form and turn it in at the Welcome Center at the time of registration. You will then sign up for a “parent meeting” held on September 12th at 7pm to collect on the information you will need for the season. Please contact Bridgit Pinelli at [email protected] for any questions or concerns.
WHAT DO I NEED? Each participant is required to wear shin guards, athletic shorts or pants, and tennis shoes or cleats (optional) for every practice and game. HILLTOP FAMILY YMCA
1536 Laskin Road, Virginia Beach, VA 23451 P 757 422 3805 W ymcashr.org
HILLTOP FAMILY YMCA Youth Soccer Registration Form Child’s Name: ………………………………….…………….....……….... Birthdate: ………..………...… Gender: …..….…….. Age (as of 09/01/2016): ……………….. Grade: …………… School: ……………….……………………………………….. Parent’s Name(s): …………………………………………………………………… Primary Phone: ………………………………. Street Address: ……………………………………………………….. City: …………………….. State: ………….. Zip:………… We will send all schedules, information packets, and other season details to you through email, but we also provide convenient text message alerts for you to receive information about changes. Instructions on registering for the text alerts will be provided in your parent packet. Email: ……………………………………………………………………………..…………………………………………………………... T-Shirt Size (circle one)
YXS (2/4)
YS (6/8)
YM (10/12)
YL (14/16) AS
AM
AL
League …….. Preschool (Ages 3-5) …….. Kindergarten and First Grade Special Requests* Volunteer Coach
Team Mom
Tuesday Practice Time (5-6pm)
Monday Practice (5-6pm) PRE-SCHOOL LEAGUE (Saturday AM Practice)
*I understand that all special requests are first-come, first-serve. This includes all requests for practice times, specific coaches, or pairing my child with a friend. I understand that I will be notified on March 23rd regarding team placement.
Parent Statement of Understanding 1. I hereby certify that my child is in normal health and capable of full participation in youth sports programs. Recognizing that the YMCA will do its best to ensure a safe experience, I understand that there are risks and hazards inherent both from my child’s participation in the program and from transportation to and from the program, and I agree to assume these risks. I hereby release the YMCA of South Hampton Roads, its employees, volunteers, and agents from any and all claims for injury, illness, death, loss or damage resulting from my child’s participation in this youth sports program. 2. I understand that I am responsible for my child’s behavior and safety while they are in the program and will remain available during practices and games. I hereby authorize the YMCA to obtain medical treatment for my child in the event that I or the child’s other parent(s) cannot be reached. I understand that the YMCA does not provide any accident or health insurance for its members and participants and I further understand that it is my responsibility to provide such coverage. 3. I support the YMCA Youth Sports Philosophy, which is based on participation, fun, physical fitness & health, skill development, teamwork, fair play, family involvement and volunteer leadership. 4. I give permission for pictures taken of my child to be used for publicity purposes. 5. I understand that many of the sports program costs are incurred at the beginning of the season and that, should I choose to withdraw from the program, I must notify the Sports Director on or before January 9th or else I will not be able to receive a refund. I have read, understand, and am voluntarily signing this authorization and release. Signature of parent or guardian: ……………………………………………………………………...……….. Date: …………………………..
COST: $65 members, $90 nonmembers
LITTLE KICKERS Preschool League (ages 3-5 yrs old) The season starts September 24th for this league. Practice is 30 minutes before games on Saturdays and games will be 30 min long . Their time will run between from 9-10:15am.
SOCCER STARS Kindergarten– 1st grade League (ages 5-8 yrs old) The season starts September 24th for this league. Practice is every Monday or Tuesday from 5-6pm. Games are 1 hr long (including Warm up, opening ceremony, half time, and the actual game) every Saturday from 10:30-11:30am.
HOW DO I REGISTER? Stop by our Welcome Center to register! Fill out the back of this form and turn it in at the Welcome Center at the time of registration. You will then sign up for a “parent meeting” held on September 12th at 7pm to collect on the information you will need for the season. Please contact Bridgit Pinelli at [email protected] for any questions or concerns.
WHAT DO I NEED? Each participant is required to wear shin guards, athletic shorts or pants, and tennis shoes or cleats (optional) for every practice and game. HILLTOP FAMILY YMCA
1536 Laskin Road, Virginia Beach, VA 23451 P 757 422 3805 W ymcashr.org
HILLTOP FAMILY YMCA Youth Soccer Registration Form Child’s Name: ………………………………….…………….....……….... Birthdate: ………..………...… Gender: …..….…….. Age (as of 09/01/2016): ……………….. Grade: …………… School: ……………….……………………………………….. Parent’s Name(s): …………………………………………………………………… Primary Phone: ………………………………. Street Address: ……………………………………………………….. City: …………………….. State: ………….. Zip:………… We will send all schedules, information packets, and other season details to you through email, but we also provide convenient text message alerts for you to receive information about changes. Instructions on registering for the text alerts will be provided in your parent packet. Email: ……………………………………………………………………………..…………………………………………………………... T-Shirt Size (circle one)
YXS (2/4)
YS (6/8)
YM (10/12)
YL (14/16) AS
AM
AL
League …….. Preschool (Ages 3-5) …….. Kindergarten and First Grade Special Requests* Volunteer Coach
Team Mom
Tuesday Practice Time (5-6pm)
Monday Practice (5-6pm) PRE-SCHOOL LEAGUE (Saturday AM Practice)
*I understand that all special requests are first-come, first-serve. This includes all requests for practice times, specific coaches, or pairing my child with a friend. I understand that I will be notified on March 23rd regarding team placement.
Parent Statement of Understanding 1. I hereby certify that my child is in normal health and capable of full participation in youth sports programs. Recognizing that the YMCA will do its best to ensure a safe experience, I understand that there are risks and hazards inherent both from my child’s participation in the program and from transportation to and from the program, and I agree to assume these risks. I hereby release the YMCA of South Hampton Roads, its employees, volunteers, and agents from any and all claims for injury, illness, death, loss or damage resulting from my child’s participation in this youth sports program. 2. I understand that I am responsible for my child’s behavior and safety while they are in the program and will remain available during practices and games. I hereby authorize the YMCA to obtain medical treatment for my child in the event that I or the child’s other parent(s) cannot be reached. I understand that the YMCA does not provide any accident or health insurance for its members and participants and I further understand that it is my responsibility to provide such coverage. 3. I support the YMCA Youth Sports Philosophy, which is based on participation, fun, physical fitness & health, skill development, teamwork, fair play, family involvement and volunteer leadership. 4. I give permission for pictures taken of my child to be used for publicity purposes. 5. I understand that many of the sports program costs are incurred at the beginning of the season and that, should I choose to withdraw from the program, I must notify the Sports Director on or before January 9th or else I will not be able to receive a refund. I have read, understand, and am voluntarily signing this authorization and release. Signature of parent or guardian: ……………………………………………………………………...……….. Date: …………………………..
