Youth Sports

Questions?

Registration Form (one form per player)

For more information, contact:

Player Name:

Frank Santiago 408 513 3173 [email protected]

Age:

Registration Info Fall Season:

Sept. 4 - Nov. 4, 2017

Registration Fee: July 24 - Aug. 25, 2017 Facility Member: $90 Program Member: $180 Registration Fee: After August 25, 2017 Facility Member: $115 Program Member: $205 If you are not a Facility Member, you can access our programs as a Program Member with a $35 Program Membership fee annually per person, plus the fee of the program. Program fees include team photo, t-shirt (reversible jersey for youth basketball leagues) and end-of-season medal. Refund requests are subject to a $20 service fee. $25 late registration fee.

Special Request Accommodations

BUILDING CHARACTER & TEACHING VALUES Fall Youth Sports Leagues SOUTH VALLEY FAMILY YMCA

We do try our absolute best to accommodate all families and participants with special requests to our best ability. If you have any Special Requests regarding a specific day, time coach, teammate or location, you can find the “Special Request” section located on the registration form. Keep in mind, Special Requests are first come first serve or by availability, therefore, all requests are not guaranteed and also do not guarantee a refund if not accommodated.

Weight:

Sex:   Male

Height:

Birthdate:

  Female

School and District: Parent(s) Name: Address: City/State/ZIP: Home Ph: E-Mail (mandatory for team communications): League Age Divison: T-Shirt Size (shirts are 50% cotton and 50% polyester): YS YM YL AS AM AL AXL AXXL If you choose a size that does not fit your child, a replacement t-shirt will cost $6. Volunteer Opportunities: I am interested in volunteering as a...   Referee   Team Parent   Head Coach   Assistant Coach Special Requests (1 request per participant):

Photo/Video Release: I hereby consent to and authorize the use and reproduction of any and all photographs and video which have been taken of my child for the promotional purposes of the YMCA, or anywhere authorized of the YMCA. I understand I receive no reimbursement for allowing my child’s photo or video to be taken and the use photo or video. Please sign: I hereby certify that the above named child is in normal health and capable of participating safely in YMCA sports. I grant permission for the above named child to participate in this program. Parent/Guardian Signature: Emergency Treatment Release: As a parent/guardian of, a minor, I herewith authorize treatment by a qualified and licensed medical doctor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his or her life, cause disfigurement, physical impairment, or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me. Family Physician:

Ph:

Allergies/Conditions (please describe): Emergency Contact:

SOUTH VALLEY FAMILY YMCA

5632 Santa Teresa Blvd., San Jose, CA 95123 T 408 226 9622 F 408 226 3324 www.southvalleyymca.org

Parent/Guardian Signature: Date:

Ph:

Preschool Sports (Ages 3-4) Pre-school is a weekly (meets once a week) parent/ child program that emphasizes skill development, improving self esteem, fair play, and fun while teaching the fundamentals of sports. The whole family is involved in this program. Preschool League is for kids who have little or no experience and want to learn and improve their skills in sports. Don’t miss this excellent opportunity to introduce your child to sports with the introduction of league play. Due to the young age of the participants, we ask that at least ONE parent plan on participating with your child each week in drills and games.

Youth and Teen Sports League

(Ages 5-16) Youth sports at the Y is for boys and girls who want the opportunity to play in an organized sports program. Skill development, participation and teamwork are stressed in this non competitive program. Teams will be organized to ensure that everyone plays and that all teams have equal ability.

Basketball League PRESCHOOL BASKETBALL:

Sept. 16, 2017 • Starts: AGES 3-4 Practice: Location:

Sat, 9:00am - Meets once a week for one hour Allen at Steinbeck

YOUTH & TEEN BASKETBALL: Sept. 4, 2017 • Starts: AGES 5-6 & 7-8 Practice: Location: Game:

Mon, Tues, or Wed 6:00pm or 7:00pm Practice is one hour, once a week Allen at Steinbeck Sat, 10:00am - 3:00pm Games are Saturday, for one hour

AGES 9-10, 11-12 & 13-16 Practice: Location: Game:

Mon or Wed, 6:00pm, 7:00pm or 8:00pm Practice is one hour, once a week Edenvale Community Center Sat, 9:00am - 5:00pm Games are Saturday, for one hour

Volunteer Coaches All our Youth Sports teams are coached by volunteer coaches. Many are parents who have children on the team. There must be at least one parent volunteer to help coach a team. We fingerprint and administer background checks on all coaches to ensure they are suitable to work with children. To volunteer as a coach, check the coach’s box in this registration form or call 408 513 3173 for details.

Mandatory Coach and Parent Meeting We hold mandatory coach and parent meetings each season, where we explain the season format, inform you of important dates, team roster and to answer any questions you may have. Date:

Saturday, August 26, 2017

Soccer League PRESCHOOL SOCCER: Sept. 16, 2017 • Starts: AGES 3-4 Practice: Location:

YOUTH SOCCER: Sept. 4, 2017 • Starts: AGES 5-7 Practice: Location: Game:

Time:

9:00am

Basketball Ages 3 - 8 Soccer & T-Ball Ages 3 - 7



10:00am

Basketball Soccer

Ages 9 - 16 Ages 8 - 10

Tues or Thurs, 4:30pm Practice is one hour, once a week South Valley Family YMCA Sat, 10:00am Games are Saturday, for one hour

AGES 8-10 Practice: Location: Game:

Tues or Thurs, 5:30pm Practice is one hour, once a week South Valley Family YMCA Sat, 11:00am Games are Saturday, for one hour

Player Assessment Tuesd ay Now A Evening Pr v a Baske ailable For Y ctices tball! o uth (Ages 5-10)

Please take a moment to fill out the player assessment to help team balance and to ensure all teams have equal ability and equal fun when teams are created. (please circle one per question)

Overall talent level in Sport? (All participants) Needs to Improve

T-Ball League PRESCHOOL T-BALL: Sept. 16, 2017 • Starts: AGES 3-4 Practice: Location:

Sat, 9:00am - Meets once a week for one hour South Valley Family YMCA

1

YOUTH T-BALL: Sept. 4, 2017 • Starts: AGES 5-7 Practice: Location: Game:

Tues or Thurs, 4:30pm or 5:30pm Practice is one hour, once a week South Valley Family YMCA Sat, 10:00am or 11:00am

2

Very Well 3

Basketball: Ball Handling Skills (Player is able to dribble with strong & weak hand / dribble against pressure) Needs to Improve



1

2

Very Well 3

Basketball: Passing Ability (Player can perform different types of passing with accuracy) Needs to Improve 1

Location: E  denvale Community Center 330 Branham LN E San Jose CA 95111

Sat, 9:00am - Meets once a week for one hour South Valley Family YMCA

2

Very Well 3

Basketball: Shooting (How is the players shooting form and shot accuracy?) Needs to Improve 1

2

Very Well 3

Basketball: Defense (Player knows how to safely keep an opponent from dribbling the ball to the basketball hoop) Needs to Improve

1

2

Very Well 3