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PLAYER INFORMATION Name: Birthday: Age Gender: m Male m Female Address: City: Postal Code: Home Phone Number: Session: Freshmen - Ages 8-10 m Junior – Ages 11-13 m Senior – Ages 14-16 m PARENT/PRIMARY CONTACT Name: Work Phone: Home/Cell Phone: Address: (if different than Player) Email: ADDITIONAL INFORMATION Please list any medical or dietary conditions we should be aware of: Shirt Size: m S m M m L m XL m Other____________ I understand that photographs, images or recordings containing my child’s picture may be used for promotion, on the YMCA’s website, social media properties including facebook and twitter, and promotional material such as brochures by the YMCA of Western Ontario. By checking the box below, I am granting permission. I permit my child noted above to attend the league at the YMCA of Western Ontario. I permit my child to participate in the full range of league activities and authorize the YMCA in the event of an accident or illness affecting the above child to authorize on my behalf all procedures including admission to the hospital and necessary treatment therein, as she/he may deem essential for the care and well-being of said Player. Such action is to be taken only when immediate contact with the undersigned cannot be made. Signature of Parent/Guardian: Date Signed: YMCA London Lightning Basketball League Sept 29 - Dec 21, 2014 YMCA of Western Ontario ymcawo.ca LONDON LIGHTNING BASKETBALL LEAGUE REGISTRATION
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London Lightning League Brochure 2014

Jan 04, 2016

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YMCA London Lightning Basketball League Western Ontario Canada
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Page 1: London Lightning League Brochure 2014

PLAYER INFORMATION Name: Birthday: Age Gender: m Male m Female

Address: City: Postal Code: Home Phone Number:

Session:

Freshmen - Ages 8-10 m Junior – Ages 11-13 m Senior – Ages 14-16 m

PARENT/PRIMARY CONTACT

Name: Work Phone:

Home/Cell Phone: Address: (if different than Player)

Email:

ADDITIONAL INFORMATION

Please list any medical or dietary conditions we should be aware of:

Shirt Size: m S m M m L m XL m Other____________

I understand that photographs, images or recordings containing my child’s picture may be used for promotion, on the YMCA’s website, social media properties including facebook and twitter, and promotional material such as

brochures by the YMCA of Western Ontario. By checking the box below, I am granting permission.

I permit my child noted above to attend the league at the YMCA of Western Ontario. I permit my child to participate in the full range of league activities and authorize the YMCA in the event of an accident or illness affecting the above child to authorize on my behalf all procedures including admission to the hospital and necessary treatment therein, as she/he may deem essential for the care and well-being of said Player. Such action is to be taken only when immediate contact with the undersigned cannot be made.

Signature of Parent/Guardian: Date Signed:

YMCA London Lightning Basketball League

Sept 29 - Dec 21, 2014

YMCA ofWestern Ontario

ymcawo.ca

LONDON LIGHTNING BASKETBALL LEAGUE REGISTRATION

Page 2: London Lightning League Brochure 2014

London Lightning and YMCA Basketball LeaguesThe London Lightning Basketball Leagues will provide players aged 8 - 16 an opportunity to improve their fundamental skills and develop their basketball potential. If you want to take your game to new levels, have fun and learn from experienced, professional basketball players, then the London Lightning Basketball Leagues are for you! Registrants will be presented the opportunity to have fun, work hard and learn new basketball skills and concepts, as well as being inspired to reach new basketball and life goals.

Includes: • 90 min skills & drills and game each

week

• Monthly tournament format

• London Lightning practice jersey

• Two tickets to a London Lightning game

• Frequent visits and coaching from Lightning Players

Commitment to Safety The YMCA is committed to the safety of all children. We continually audit our programs to ensure we’re staying on top of health and safety. Along with having fun and learning new skills, participants will be supervised and supported by caring YMCA staff.

Leagues: • Co-ed Freshmen - Ages 8-10 • Junior Girls – Ages 11-13 • Junior Boys – Ages 11-13• Senior Girls – Ages 14-16 • Senior Boys – Ages 14-16

Session: September 29 - December 21, 2014

Fee:

• $90 for members & season ticket holders

• $165 for non-members

Registration:

Please complete the attached registration form by September 19, 2014 and submit it to either Centre Branch or Stoney Creek YMCA

Please call us with any questions, concerns, or help with your registration form:

Centre Branch 519.667.3300

Stoney Creek YMCA 519.667.4400

Co-Ed FreshmenCentre Branch • 382 Waterloo St, London • Sunday 1:00-2:30pmStoney Creek• 920 Sunningdale Rd. East, London• Sunday 11:00-12:30pmLightning Gym• 75 Blackfriars St, London• Saturdays 9:00-10:30am Junior Boys & Junior GirlsCentre Branch • 382 Waterloo St, London • Mondays 6:30-8pmStoney Creek • 920 Sunningdale Rd. East, London• Wednesdays 6:00-7:30pmLightning Gym • 75 Blackfriars St, London• Saturdays 11:00-12:30pm

Senior Boys & Senior GirlsCentre Branch • 382 Waterloo St, London • Mondays 6:30-8:00pmStoney Creek • 920 Sunningdale Rd. East, London• Fridays 6:30-8:00pmLightning Gym • 75 Blackfriars St, London• Saturdays 1:00-2:30pm