Lombard Park District

follow Spring 2014 YOUTH ATHLETICS Youth Sports Information Form This form is required for all children participating in soccer, basketball, T-ball, and girls softball. This form can be dropped off, mailed or faxed to Sunset Knoll Recreation Center: 820 S. Finley Road, Lombard, IL 60148. Fax: (630) 620-0762 Sport: __________________________________ Season: __________________________________ School: __________________________________ Grade: ___________________ Players Full Name: ________________________________________________________________ Phone: __________________________________ Sex: M F Address: ___________________________________________________________________________ City: _____________________________________ Zip: ______________________ E-mail: _____________________________________________________________________________ Date of birth: ___________________________ Age: _____________________ On travel/school team? Yes No Number yrs in sport: ________ Shirt Size: ______________________________ Height: __________________ Parent/Guardian name: __________________________________________________________ Phone: _____________________________________________________________ Alternate contact name: _________________________________________________________ Phone: _____________________________________________________________ Illnesses, allergies, or other medical conditions: ________________________________ Coach Request: ____________________________________________________ Friendship Request (limit one): ___________________________________________________ Evenings player cannot practice: __________________________________ Visit the athletics page at www.lombardparks.com for team formation guidelines. PARENTS/GUARDIANS: If interested in coaching, please complete the following information: For the sport listed on this form, the following parent/guardian can be a: Head Coach Assistant Coach Name: ____________________________________________________________________________ E-mail: _____________________________________________________________ Phone: ___________________________________________________________________________ Preferred practice night: __________________________________________ Have you ever coached this sport? Yes No If you are signing up to be a head coach and have an assistant coach, please include their information (limit one): Name: ____________________________________________________________________________ E-mail: _____________________________________________________________ Phone: ___________________________________________________________________________ PLEASE NOTE: The Lombard Park District conducts criminal background checks on all volunteer coachers. INTRO TO ARCHERY (Ages 6-13) Learn the fun and unique pastime of archery in an extremely safe environment in this class. Participants will learn the parts of an arrow and recurve bow, the basics of using a recurve bow, and fundamental shooting skills. They also will learn an excellent, nationally recognized beginner's 9-step to the 10 ring progression which was created by the Coaches Development Committee of the National Archery Association. Blunt tipped arrows, bows, and targets are provided. A mix of technique and games will be a part of this class. The 5:30-6:15 class will be a parent/ child session, and registration fee includes both the parent and the child. The parent's primary role is to help their child learn, while also getting to participate in the activity. May 27 will be a rain date if any classes during the session are cancelled. Instructor: SportsKids, Inc. Location: Sunset Knoll Code Day Date Time R/NR Fee YOUTH: AGES 8-13 101115-06 Tu 04/15 - 05/20 4:45 - 5:30 pm $65/$75 PARENT/CHILD: AGES 6-13 101115-07 Tu 04/15 - 05/20 5:30 - 6:15 pm $98/$108

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