Cambridge YMCA Family Center
Youth Indoor Soccer Registration Form
Registration: December 15th, 2014 – February 22nd, 2015
League Ages: 3 - 13 years
Player’s Name________________________________ DOB_______________
YMCA Co-Ed
Address________________________________ City_____________________
Age________ Grade_________ School Child Attends___________________
Circle:
Male
Female
Y Member
Non-Member
Indoor Soccer League
Jersey Size (Circle): Youth XS(4-6) S(6-8) M(10-12) L(14-16) Adult S M L XL
Player’s League: U Six: 3 – 5 yrs
U Ten: 8 – 9 yrs
U Eight: 6 – 7 yrs
U Fourteen: 10 – 13 yrs
Request for Coach/Player __________________________________________
(The Y will try to accommodate each request for coaches or players, but this is not always possible based
on team numbers and deadlines)
Sundays for 7 weeks
Parent Information
Mother______________________________ Best Phone_________________
Father_______________________________ Best Phone_________________
Emergency Contact & Phone_______________________________________
Parent Agreement
1. I hereby certify that my child is in normal health and capable of safe participation in youth sports
program. I assume all risk(s) and hazards incidental to the conduct of this program. I hereby authorize
the YMCA to obtain medical treatment for my child in the event that parent(s) or emergency contact
cannot be reached.
2. I support YMCA Youth Sport philosophy, which is based on fun, fair play, participation, physical
fitness and health, skill development, teamwork, family involvement, and volunteer leadership.
3. I understand that teams are divided by schools and grades and the YMCA will try to meet parent
requests, but not all requests may be granted
___________________________________________________________________________________
_______ ____________________
(Signature of Parent or Guardian)
(Date)
Required Information on the reverse side of sheet! Detach registration form and
keep remaining half of detailed information for your records.
Everyone Plays, Everyone Wins!
Fundamentals: February 22nd and March 1st
League Games: March 8th through April 12th
*Please refer to fundamental schedule for times on the backside of this sheet
Cost: $25 for YMCA Members, $50 for all others
Registration: December 15th, 2014 – February 22nd, 2015
YMCA Youth Indoor Soccer League is a seven week program that features two
fundamental weeks that prepare our youngsters for five weeks of games
against their peers. This is a co-ed league that is open to any child between that
ages of 3 and 13. Participants will be divided into leagues and teams based on
their age. 2015 Divisions include:
U Six: 3 – 5 years
U Eight: 6 – 7 years
U Ten: 8 – 9 years
U Fourteen: 10 – 13 years
All fundamental and league games are played on Sundays, each child will
receive a t-shirt that acts as their game jersey, a trophy at completion of the
league, and modified rules and equipment are used to ensure that everyone
experiences success.
Important League Information
Please keep this sheet to reference during the league.
Fundamentals Schedule:
Registration Information
Please register at the Cambridge YMCA Family Center member services desk
located in the Health Living Center. The completed form as well as payment is
required to register. Phone, fax and mail registrations are NOT allowed.
Sunday, February 22nd and Sunday March 1st
Registration Fees:
Times for both days:
YMCA Members $25
U Six: 1:00 – 1:45 pm
U Eight: 2:00 – 2:45 pm
U Ten: 3:00 – 4:00 pm
U Fourteen: 4:15 – 5:15 pm
Please Note that on Sunday, March 1st Team Rosters and Game Schedules will
be available.
Game Schedule:
Sundays March 8th – Sunday April 12th
*No games the weekend of April 5th*
All Others $50
(Members rates refer to the child having a youth membership or being a part of a family
membership. Those children that are not stand-alone members or part of a family membership are
required to pay non-membership rates.)
Family Discounts: For those families with multiple children the YMCA will
discount $5 per additional child for Y members and $10 per additional child for
non-members. A cap for payment for families is set at three children so child
four or more is free!
Payment Options: The Cambridge YMCA accepts cash, check, debit card or all
major credit cards as forms of payment. Please make checks payable to the
Cambridge YMCA.
Game Jerseys:
Refund Policy: The YMCA will refund all registrations before the second week of
the youth sport. This refund will be in full if placed as a system credit or $5 will
be deducted if the participant requests a refund check.
Your child will receive one t-shirt based on their team color and the size that
marked on their registration form. This t-shirt will be distributed by the coach
of your child’s team on Sunday, March 8th (first game day)
After the second week of the youth sport the YMCA will only refund half of the
registration fee. After half of the youth sport is complete NO refund will be
granted. After the second week only a medical excuse will grant a full refund.
Picture Day:
YES, I am interested in volunteering…
The YMCA requires that all players attend their scheduled picture time
regardless of intent to purchase photos. Janelle Williams Photography will take
all team photos and individual photos for those that wish to purchase a
package. Picture Day will be Sunday, March 8th. Picture packets will be available
on Sunday, March 1st along with a schedule for team pictures only. All
individual photos are to be taken at the convenience of you and the
photographer during Sunday, March 8th.
Parent volunteer coaches are a big part of making our programs successful. If you would
like to help coach your child’s team, please fill out the following information. The YMCA
stands behind the policy that every parent volunteer has a complete background check
provided at the YMCA’s expense. Each volunteer is required to complete a volunteer
application which is only valid for one calendar year. Each volunteer is required to
complete a free online training regarding concussion protocols each calendar year.
Volunteer applications will be mailed to each volunteer or are available at the member
services desk.
Please Note: If you would like pictures you will need to purchase a package. The
YMCA will not provide pictures.
Name:____________________________________________________________
___________________________
Best Phone:___________________________
Email:____________________________________________
Any Coach’s
Requests:__________________________________________________________
________
If you have any questions, please contact Tacy Bates
at 740-432-4600 or Cambridgeymca@rocketmail.com