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Programs for Girls Boys by pp00pp

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                                                                                                                                                                                               OSHKOSH, WI
OshkoshCommunityYMCA                                                                                                                                                                        PERMIT NO. 145
                                                                               3303 West 20th Avenue
                                                                                  Oshkosh, WI 54904

                                                                ADDRESS SERVICE REQUESTED
                                                             Check out the other exciting programs the Y has to offer. Call and ask for an Activities Guide today!




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We build strong kids, strong families, strong communities.
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                                                                    ProgramsforGirls&Boys
                                                                                                                                                                     OshkoshCommunityYMCA
                                                                              RegistrationformforYMCABasketballProgram
YouthBasketball                                                                     Open registration ends November 13, 2009
                                                                                              Late fee of $5 will be assessed to all who
              Ages      K-7th Grade*                                                              sign-up after the stated deadline.
       Enrollment       Open
                                                                           _____ Youth Basketball                        $39 YMember
          Session       January 2 - February 3, 2010                             (K-7th grade)                           $58 Program Member
         Deadline       November 12, 2009                                                                                Includes T-shirt
            Meets       Saturdays | Downtown YMCA Gym,
                        and the NEW 20th Avenue Gyms                       Participant Name (first & last)                                    Boy / Girl
                        Weekday practices
                        (times determined by coach)                        School                                    Grade             Age       Member (Y/N)
               Fee      $39 YMember
                        Includes t-shirt                                   Address                                                     City         ZIP

                        $58 Program Member                                 Telephone
                        Includes t-shirt
                                                                           Email Address
               Join us for a seven-week
         s
 G  ame d         season of fun for boys and
        el
 are h day                                                                 Shirt size: Youth S(6-8) | M(10-12) | L(14-16) or Adult S | M | L | XL
       r
 Satu ings
                   girls interested in playing
     rn            basketball. Games will be                               (Shirts will be handed out on the day of the first game.)
 mo
       early
  into oons. held at the downtown YMCA
      rn
 afte                                                                      Team or coach’s name from last year
                for the 5th, 6th and 7th grade
            leagues. K-4th graders will play at                            J I am interested in sponsoring a YMCA Youth Basketball Team
the NEW 20th Avenue Gyms.*                                                 J I am interested in coaching basketball this year. Please call me at the
                                                                             telephone number listed above, or at             .
Practices will start the week of December 14
(practices are held at the YMCA).
                                                                           Name
Coaches will contact parents to inform them of
practice dates and times. If you have not been                             AGREEMENT: 1) I hereby certify that my child is in good health and capable of safe
contacted by Dec. 14 please call Paul at                                   participation in YMCA Youth Sports. I hereby authorize the Oshkosh Community
                                                                           YMCA, its staff and volunteers, to obtain medical treatment for my child in the event
230-8449 ext. 126.                                                         that parents cannot be reached. 2) I hereby waive and release any and all rights for
                                                                           damages I may have against the Oshkosh YMCA, its staff or volunteers for any and
*Jan. 9 and Feb. 13 games for K-4th grade will be held at Merrill Middle   all injuries suffered during participation in YMCA activities.3) I give permission to the
 School due to YMCA Swim Meets.                                            Oshkosh YMCA to use photos of my child for promotion or advertisement.


Coach’sMeeting                                                            Parent Signature                                            Date
Monday, December 1st • 20th Avenue YMCA • 6:00 p.m.
                                                                           Print Name

                                                                                                                                                          01-2005-03105

								
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