Youth Indoor Soccer Registration Form - Scottsbluff Family YMCA - ymcaofscottsbluff 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the participant's name and selecting their gender. Ensure accuracy as this information is essential for team assignments.
  3. Fill in the grade and age of the participant, along with their date of birth and school attending. This helps us categorize players appropriately.
  4. Indicate any serious health problems by selecting 'Yes' or 'No.' If applicable, provide an explanation to ensure safety during activities.
  5. Complete the parent/guardian section with your name, address, city, state, zip code, and email. This information is crucial for communication regarding the program.
  6. Provide home, work, and cell phone numbers for emergency contact purposes.
  7. If you are willing to help coach, indicate your preference by checking the appropriate boxes and providing a coach’s name if applicable.
  8. Read through the liability waiver carefully before signing. Your signature confirms understanding of risks associated with participation.
  9. Finally, submit your completed form online or print it out for submission at the YMCA. Remember that registration is due by 2/14/16!

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We have a Lap Pool and Therapy Pool to meet all of your water needs. We also offer private swim lessons and open swim times.
Corporate Business Membership: Youth12-18 years old$15.00 Adult 19-61 years old $15.00 Senior 62 older $6.00 Family Day Pass $20.00
Importantly, YMCAs also provide the facilities for adult soccer leagues to gather. Male, female, and cop-op leagues are welcome to form around either competitive or recreational goals. For children, the YMCA offers the kind of key social programs that can determine the entire course of a lifetime.
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Our desire is to turn no one away because of an inability to pay. Each year countless members of our community volunteer their time to help raise financial support to subsidize this scholarship program. Determining assistance amounts is handled by the YMCA in a fair and consistent manner.

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