Participating in YMCA soccer will not only provide you with healthy regular exercise, but also

provide you with an opportunity to make new friends, relieve the pressure from work or school,
and provide you with the unique opportunity to be part of a team. YMCA soccer program is
designed to provide age appropriate training throughout the various age groups. This program
is available for all kids ages 3-15 and is designed to help your child progress through the sport
as he/she grows. Limited scorekeeping and an ongoing commitment to good sportsmanship
round out the program.

COA 5/8/08 Open Registration: 5/12/08

Registration Deadline (ages 4-15): 8/4/08
Registration Deadline (age 3): 8/25/08

First Practice: Week of 8/25/08 First Game: 9/6/08 Final Game: 10/25/08 (weather permitting)
End of the Season Jamboree Style Tournaments for U15, U13, and U10 Teams

Abbott’s Hill, Dolvin, Haynes Bridge, Baker Soccer Complex, New Prospect, Webb Bridge Middle School,
Northwestern Middle, and Crabapple Elementary.

Weekends only! 5 Week Session, no practices, only games. T-Shirt is Provided, no uniform. Deadline 8/25/08

Practice during week, games on Saturday. All Players must wear shin guards at all times.
Uniforms will consist of 2 shirts (blue and white), 2 pairs of socks, and a pair of shorts.
! "
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 Ed Isakson/Alpharetta Family YMCA
2008 Youth Fall Soccer Registration Form
Player’s Name __________________________________________________________________________
Address __________________________________________City____________State_____Zip__________
School child attends___________________________ Closest Fulton County School___________________
Grade______________________Age______DOB__________Sex_______Home Phone________________
Mother’s Name___________________________________Work #________________________________
Father’s Name____________________________________Work #________________________________
Email Address_________________________________________________________________________________________
Cost:
Age 3: $75 Age 4&5: $85 Age 6-15: $95
All Participants must be current facility or program members. Program Memberships $25 per person $35 per family
Financial assistance is available for those in need through our “Partner With Youth” program.
Soccer Age Groups
Please indicate age group your child is to play in: (age as of 8/15/08) Age groups may be combined as needed.*

Age 3 Mini Kickers Age 4-5 Co-Ed Age 6-7 Co-Ed Age 6-7 Girls Age 8-9 Co-Ed
Age 8-9 Girls Age 10-12 Co-Ed Age 10-12 Girls Age 13-15 Co-Ed Age 13-15 Girls

Do you need to purchase a uniform (ages 4-14 only)? If yes, please circle size: YS YM YL AS AM AL
If yes add $25 to registration price.
If Registering by Fax:
Visa/Mc/Disc/Amex # ______________________________________________ Exp. Date _________________
Cardholders Signature_________________________________________________________________________
Volunteers
As a parent, I will participate in the program as a volunteer:
Coach (Willing to Coach alone)
Co-Coach (willing to coach with another volunteer)
Team Parent (willing to help coaches with practice, games, and administration, i.e. phone calls, snack schedules)
Partner w/ Youth Campaign (willing to volunteer as a campaigner for the YMCA’s annual fundraising campaign)
*As a volunteer coach or co-coach, you decide when, where, and at what time your practice will be.

Volunteer’s Name_____________________________________ Home # ___________________________________

E-mail_______________________________________________ Cell # ____________________________________

Special Requests
Please do not request day, time, or location. No special Request is ever guaranteed!
Player__________________________________________ Coach __________________________________________________
General Waiver and Consent
I know that engaging in physical exercise is a potentially hazardous activity. I assume all such risks being known and appreciated by me. Having read this
waiver and knowing these facts and in consideration of your accepting my application for program participation, I hereby certify that I am medically able to participate
in activities which shall be selected by me. I assume the sole responsibility for my medical condition at all times. I, for myself and anyone entitled to act on my behalf,
waive and release the Ed Isakson/Alpharetta Family YMCA, sponsors, their representatives and successors, from all claims and liabilities of any kind arising from and
out of my activities at or sponsored by the YMCA. I understand that photographs are periodically taken of the facility and those involved in activities, and that any
likeness of me and/or family members may be used in public relations materials unless I request otherwise in writing to the Executive director. Furthermore, by signing
below, I certify knowledge that absences from programs will not be made up-unless said absence is due to the closing of the area in question.

__________________________________________ _______________
Signature Parent/Guardian Date
For Office Use ONLY
Date Received________________
Return/Fax this form to the Total Amount Paid ____________
Ed Isakson/Alpharetta Family YMCA Receipt # ________________ Code # 08YF03108
3655 Preston Ridge Road · Alpharetta, GA 30005
Phone: 770-664-1220 · Fax: 770-664-0337