NORTH FAYETTE ATHLETIC ASSOCIATION
FLOOR HOCKEY SIGN-UP FOR THE 2004 SEASON
N.F.A.A. WILL ONCE
AGAIN OFFER (FLOOR HOCKEY) FOR CHILDREN FROM KINDERGARTEN THRU 10TH
GRADE. THE SCHEDULES ARE LISTED AS FOLLOWS:
GRADES K – 2
SATURDAYS FROM JANUARY 3 THRU MARCH 27 (FEE $25.00)
GRADES 3 – 5
SUNDAYS FROM JANUARY 4 THRU MARCH 28 (FEE $25.00)
GRADES 6 – 8
WEDNESDAYS FROM JANUARY 7 THRU MARCH 31 (FEE $30.00)
GRADES 9-10
SUNDAYS FROM JANUARY 4 THRU MARCH 28 (FEE $30.00)
REGISTRATIONS WILL TAKE PLACE
AT THE NORTH FAYETTE COMMUNITY CENTER LOCATED ON OLD STUBENVILLE PIKE, THE
FOLLOWING DATES ARE:
WEDNESDAY NOV. 5, 6:00 – 8:00 MEETING ROOM DOWNSTAIRS
SATURDAY NOV. 8, 9:00 – 11:00
MEETING ROOM DOWNSTAIRS
Need extra sign-up forms, go
to wayouth.com web site
NOTE: $ 100.00 MAXIMUM PER
FAMILY
FLOOR HOCKEY HELMETS WITH
EITHER A CAGE OR A SHIELD ALONG WITH SHIN GUARDS ARE MANDATORY. THE N.F.A.A WILL
PROVIDE THE HOCKEY STICKS FOR THE PLAYERS FROM KINDERGARTEN THRU 5TH
GRADE.
DICKS’ SPORTING GOODS
WILL BE OFFERING COUPONS OF 10% TO 20%
DISCOUNT FOR ANYONE WHO PLAYS FLOOR HOCKEY AT THE N.F.A.A. THIS
YEAR.
**************************************************************
REGISTRATION FORMS CAN BE
MAILED TO:
NORTH FAYETTE ATHLETIC
ASSOCIATION
3516 FOX CHASE
DRIVE
IMPERIAL PA. 15126
**************************************************************
DEADLINE FOR REGISTRATION IS
S9-UNDAY NOV. 30 OR UNTIL TEAMS OR FILLED
MAKE CHECKS PAYABLE TO
N.F.A.A.
**************************************************************************************
REGISTRATION
FORM
PLAYER
NAME__________________________________________________AGE_____GRADE_____
PARENT/GUARDIAN
NAME____________________________________________________________
ADDRESS_____________________________________________________________________________
PHONE
NUMBER___________________________________________SHIRT
SIZE_______________
INSURANCE COMPANY (in case of
emergency)__________________________ _________________
______________________________________________________________________________________
( ) PLEASE CHECK IF INTERESTED
IN COACHING A FLOOR HOCKEY TEAM.
PLEASE
READ:
I, THE UNDERSIGNED
PARENT/GUARDIAN OF THE MINOR DO FOR OURSELVES, EXECUTORS, ADMINISTRATORS, HEIRS,
AGREE TO ENROLL MY CHILD AND AGREE TO ABIDE BY THE RULES OF THIS ORGANIZATION. I
HOLD HARMLESS THIS ORGANIZATION, OFFICERS, COACHES, REFEREES, AND MANAGERS, FOR
CLAIMS THAT MIGHT BE ASSERTED BY US OR OUR CHILD AS A PARTICIPANT IN THE GAME OF
FLOOR HOCKEY.
SPECIAL
NOTES:
1)
PAYMENT MUST ACCOMPANY
APPLICATION.
2)
A $25.00 WILL BE CHARGED FOR
ALL RETURNED CHECKS.
3)
NO APPLICATION WILL BE
ACCEPTED IF PAYMENTS FROM PAST NORTH FAYETTE ATHLETIC ASSOCIATION SPORTS ARE
DUE.
SIGNATURE OF
PARENT/GUARDIAN_______________________________________DATE:_____________
VOLUNTEERS run this organization! We
need your help in running this program, so please signup to coach your child’s
hockey team. Check your newsletter, or come to any NFAA meeting (first Wednesday
of every month at 8:00 at the North Fayette Community Center), for more
information. Call 724-695-2954 ask for Michael
Pouch