Summer T-ball is Back!Text Box: Who:        Boys and Girls 3 yrs thru 1st grade When:    July  7th—August 16th  Six weeks! ( 1st game will be 7/11) Where:   Duneland Family YMCA 215 Roosevelt St.                           Chesterton.  219-926-4204 Cost:          Y members $35, community  $70 Register: At the YMCA from May 15th  - June 21st   A late fee of $10.00 will be added to any late registrations

Text Box: 2008 Youth T-ball Registration form We build strong kids, strong families, and strong communities Please Print Legibly.   Child’s Last Name: _______________________Child’s First Name:_____________________D.O.B:______________ Age:_________  Grade:_________  School:______________________________Home Phone:___________________ Address:______________________________________ City:____________________ Zip Code:_________________ Parents Names:____________________________________________________    Youth Shirt Size:   6/8  10/12  14/16 E-mail:____________________________________________________________ Please Read And Sign Below I give consent for my child’s photograph and/ or name to be used in any publication, whether it is media or YMCA printing.                  YES                     NO                Please circle one In the event that my child need immediate medical attention while participating in a Duneland Family YMCA program and I cannot be reached, I give consent for emergency medical treatment to be administered in the Emergency Room of any hospital, by my child’s physician, the attending Emergency Room Physician and/ or my child’s dentist. Parents are expected to stay with children during any YMCA function.    ________________________________________________________  ___________________________________   (Parent/Guardian Signature)                                                                                                  (Date)   I would like to assist with my child’s team: ________________________Phone #:_________________ The coaches meeting will be July 2nd, at 6:00 pm. Please be sure to attend so you can receive your team information.

Text Box:   ~~~~Office use only  ~~~~ Payment Amount ________________ Receipt # _____________ Date _____________ Initials ___________     YMCA Member:    YES       NO        Expiration Date: __________ Type of Membership:______________ Text Box: Duneland YMCA   Let your child’s first experience with t-ball be a great one! Participate in  Duneland YMCA youth sports today!