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!
We build strong kids, strong families, strong communities.
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.
_____ 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
(times determined by coach) School Grade Age Member (Y/N)
Fee $39 YMember
Includes t-shirt Address City ZIP
$58 Program Member Telephone
Join us for a seven-week
G ame d season of fun for boys and
are h day Shirt size: Youth S(6-8) | M(10-12) | L(14-16) or Adult S | M | L | XL
girls interested in playing
rn basketball. Games will be (Shirts will be handed out on the day of the first game.)
into oons. held at the downtown YMCA
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).
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.