KIFUMC Sports Ministries

YOUTH BASKETBALL

SKILLS AND DEVELOPMENT PROGRAM

January 28 – March 7

Grades 3 & 4 – Any skill level encouraged to participate

Girls practice Monday & Wednesdays

Boys practice Tuesdays & Thursdays

3:30 – 5:00 p.m. at Memorial Hall

 

Christian environment with fun & fellowship

Teaching basketball skills and good character!

Transportation from school is available—indicate necessity on

Registration form

Director:  Joel Johnson, KHS Varsity Baseball & former Varsity Girls Basketball Coach

First Church – United Methodist Basketball Academy

To Register or find out more information:  

  --print and complete the registration form below 

  --Mail to Church office or stop by at 313 East Montgomery or

  --Email johnsonhome@iowatelecom.net to request registration form

All participants and parents encouraged to attend orientation meeting Sunday, January 13 at 5:00 p.m., basement of First United Methodist Church, 313 East Montgomery.

BASKETBALL

ACADEMY

3rd/4^th Grade – Winter 2013

                                REGISTRATION FORM           Need transportation?   Yes / No

Participant Information:

Name:  ______________________________________Grade_____  Gender:  Boy / Girl

Address:  ____________________________ City: ___________________ Zip: ____________

Phone: __________________ Email: ___________________________________(print clearly)

T-shirt Size:  ______________ Last Name for Shirt Back _______________________________

            Adult: S – XXL   Youth:  S -- XL

Emergency Contact Information:

Name:  ___________________________________________ Relationship:_______________________

Phone:  ________________ Please indicate any allergies or medical problems staff should be aware of:  ___________________________________________________________________________________

Release of Liability and Assumption of Risk

The use of the premises, facilities, equipment, and services at Knoxville First United Methodist Church naturally involves risk of injury to you or your guest, whether you or someone else cause it.  As such, you understand and voluntarily accept this risk and agree that Knoxville First United Methodist Church will not be liable for any injury, including, without limitation, personal, bodily, or mental injury, economic loss or any damage to you, your spouse, guests, unborn child, or relatives resulting from the negligence of Knoxville First United Methodist Church or anyone on Knoxville First United Methodist Church’s behalf or anyone using the facilities. 

Picture Release

I hereby give my consent to let my child be photographed for use by the Knoxville First United Methodist Church to be used in newspaper or other media.  No names except First United Methodist Church will be used.

 

___________________                 __________________________________________

Date                                                                        Signature of Parent or Guardian

COST:  $25.00           Mail or deliver to church office.  Please come to orientation meeting on

                                    Sunday, January 13 at 5:00 p.m., basement of First United Methodist Church.

                                    Checks payable to First United Methodist Church.

Scholarships available upon request based on economic need and hardship.  Please contact Joel Johnson at johnsonhome@iowatelecom.net, or call 641-891-9739, or stop by church office.