17 Second Street, Bangor, ME 04401 • 207-941-2808 • www.BangorYMCA.org

REGISTER YOUR KIDS FOR THE BANGOR REGION YMCA

MUNCHKINS SOCCER& BASKETBALL!

SOCCERYour child will learn the basics of soccer, including passing, kicking, shooting, and playing soccer-related games, creating a fun team atmosphere.WHEN: September 9th - October 7th, 2019

Mondays, 5:30 - 6:15pm WHERE: Columbia Street Project (45 Columbia St, Bangor)

COST: $25 for Members $50 for Non-Members

BASKETBALLYour child will learn the fundamentals skills of basketball, including dribbling, passing, and shooting. We utilize games to make sure kids have fun even though these skills are very new.WHEN: September 3rd - October 8th, 2019

Tuesdays, 5:15 - 6:00pm WHERE: Columbia Street Project (45 Columbia St, Bangor)

COST: $35 for Members $55 for Non-Members

A fun way for your child to be active and socialize with other kids their age! The focus of this program is to have fun, meet new friends, and learn how to play sports in a non-competitive environment.

FOR AGE 3 - 5 YEARS OLD!

For more information, email Forrest Spang, Youth & Adult Sports Coordinator, at fspang@bangorY.org.

Our Thanks to Our Partner, Columbia Street Project.

082619

2019 FALL MUNCHKINS

VOLUNTEER OPPORTUNITIESHelp us inspire today’s youth with a lifelong love of sports, improve self-confidence, and work towards building a positive team environment. BECOME A VOLUNTEER COACH!

Are you interested in becoming a volunteer for one of our Bangor Region YMCA Sports programs?

o Yes, please contact me with more info. o No, not at this time.

CHILD’S INFORMATIONSelect the program you are registering your child for: o Soccer o Basketball

Name

Date of Birth Age

Parent/Guardian’s Name

Mailing Address

Best Phone Number to Reach You Other Number

E-mail

Please select your child’s shirt size:Youth o XS o S o M o L o XL

PHOTO RELEASEI consent to having my child’s photo or video taken for the purposes of Bangor Region YMCA promotions.

o Yes o No Initial

CANCELLATION POLICYIf you request to cancel your registration from a Bangor Region YMCA Munchkins program within two weeks prior to the program’s start date, there will be a $25 cancellation fee per canceled program. If the program is paid in full prior to cancellation, the payment minus the $25 cancellation fee will be refunded. All payments are non-transferable.

LIABILITY WAIVERIn the event of accident or illness, a Bangor Region YMCA representative has my permission to secure medical care for my child. I understand I am responsible for any medical expenses not covered by my insurance, which may be incurred at the result of an athletic injury or sickness which occurs during program. I release the Bangor Region YMCA, its instructors, volunteer coaches, and directors of any claims that may result from my child’s participation in Bangor Region YMCA sports programming.

Parent/Guardian’s Signature Date

REGISTRATION FORM

To register, stop by the Y, visit us online at BangorYMCA.org, or use our Daxko Mobile App (available in the app stores for Apple and Androids).