FOR OFFICE USE ONLY Appleton Parks & Recreation RCD$________ Register using this form or register online www.appletonparkandrec.org By______ Date__________ Check#______ Cash______ CrCd________ PB__________ Receipt________ Date____ CO-ED YOUTH FLAG FOOTBALL LEAGUE INDIVIDUAL PLAYER REGISTRATION BOYS & GIRLS CHECK CLASS # (14-15 School Year) 422503-04 422505-06 422507-08 Player Information Appleton Parks & Recreation youth flag football league is on Tuesday evenings at Appleton Memorial Park from September 9 through October 14 GRADE 1st & 2nd 3rd & 4th 5th & 6th Please write legibly. Player’s name: Grade (14-15 School Year): Player's home phone: School (14-15 School Year): Address: Male or Female (circle one) City: ,WI Zip Date of birth: Parent 1: Cell: Work: Parent 2: Cell: Work: Which parent(s) reside at the address listed above? (circle one) Email 1 (primary): Player's T-Shirt Size Sizes: Y-small (6-8) Email 2: Both parents Parent 1 Parent 2 (will be used by coaches to contact parents) Circle one size. There will be no exchanges. Note: Shirts run small. Y=Youth sizes, A=Adult sizes Y-medium (10-12) Y-large (14-16) A-small A-medium A-large A-X large Team Placement Request We do our best to grant requests, but we make NO guarentees. Teams are formed by grouping players according to their grade and school. Some players have a coach, team, or a buddy request. Write your request below. If you are registering online, please email [email protected] with your child's name and request. Volunteer Parent/Coach Sign-Up We rely on volunteer coaches to work with the young athletes. Please consider coaching a team. Training and assistance is available to all coaches. Coaches must successfully pass a background check and attend a coach's training course prior to the season. Name of volunteer parent/coach:_________________________________________________________________________________ I am interested in serving as a ________ Head coach or _______ Assistant Coach Shirt size (circle one): Adult S M L XL XXL Email (if different from above):_________________________ 3 Simple Ways to Register 1. Online: www.appletonparkandrec.org (see directions on the reverse side of this form) 2. By Mail: Appleton Parks and Recreation P.O. Box 1976 Appleton, WI 54912-1976 3. Walk-In/Drop-Off: 1st Floor Customer Service Center City Hall 100 N. Appleton St. Early Bird Registration Period: March 22 - July 17, 2014 Registration Fee: $20/Resident, $45/Non-Resident Final Registration Period: July 18 - 31, 2014 Registration Fee: $30/Resident, $55/Non-Resident APPLETON PARKS & RECREATION YOUTH FLAG FOOTBALL GAME DATES: GAME TIMES: LOCATION: PRACTICES: LEAGUES: September 9 – October 14, 2014 Tuesday Evenings, 5:30 – 8:30 p.m. (game times vary) Outfields of Appleton Memorial Park Baseball Diamonds One practice per week may be scheduled by the volunteer coach at a local park or school NEW – Grades 1 & 2, Grades 3 & 4, Grades 5 & 6 All players will be contacted by their coach in early August. Please do not call the Parks and Recreation office to check on your player’s registration. You will be mailed a receipt confirming that we have received your registration. VOLUNTEER COACHES: Our youth sports programs rely on YOU to volunteer your time and help these young athletes learn the game of football. Volunteer coaches act as a positive role model for the youth in our community and help them build confidence and sport specific skills. • We provide practice plans, training guides, coaching tips, and support to make sure you and your team have all of the tools you need for a positive experience. • Indicate your interest in being a volunteer coach on the reverse side of this registration form or with your online registration. DIRECTIONS FOR ONLINE REGISTRATION To use online registration you must be registered as a household. If you haven’t registered your household, click on the ‘online registration’ link on our website at www.appletonparkandrec.org and select ‘need an account’. Online registration will be accepted for flag football at www.appletonparkandrec.org through July 31, 2014. MasterCard and Visa are the accepted payment. Email [email protected] if you have specific requests. PLAY WITH YOUR FRIENDS, PLAY APRD SPORTS! NEW – 1st and 2nd Grade Flag Football League Now Offered! QUESTIONS? Appleton Parks and Recreation (920) 832-5905 [email protected] www.appletonparkandrec.org