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.

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REGISTRATION FORMS CAN BE MAILED TO:

NORTH FAYETTE ATHLETIC ASSOCIATION

3516 FOX CHASE DRIVE

IMPERIAL PA. 15126                   

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DEADLINE FOR REGISTRATION IS S9-UNDAY NOV. 30 OR UNTIL TEAMS OR FILLED

MAKE CHECKS PAYABLE TO N.F.A.A.

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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