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  1.  
  2. <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
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  25. </head>
  26. <body lang="en-US" dir="ltr">
  27. <p style="margin-bottom: 0.21in; border-top: none; border-bottom: 1.00pt solid #4f81bd; border-left: none; border-right: none; padding-top: 0in; padding-bottom: 0.06in; padding-left: 0in; padding-right: 0in; line-height: 100%"><a name="_GoBack"></a>
  28. <font color="#17365d"><font face="Cambria, sans-serif"><font size="6" style="font-size: 26pt">CLAYTON
  29. YOUTH COMMISSION    <font size="6" style="font-size: 22pt">     Sign-ups</font></font></font></font></p>
  30. <p style="margin-bottom: 0.14in; line-height: 115%"><font size="2" style="font-size: 10pt">                                         </font><font face="Comic Sans MS, sans-serif"><font size="2" style="font-size: 10pt"><b>2014
  31. Registration Form</b></font></font></p>
  32. <p style="margin-bottom: 0.14in; line-height: 115%"><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">Child’s
  33. Name:
  34. __________________________________________________________________________________________________________</font></font></p>
  35. <p style="margin-bottom: 0.14in; line-height: 115%"><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">Grade:
  36. __________          Age: __________         Date of Birth:
  37. ___________________________________</font></font></p>
  38. <p style="margin-bottom: 0.14in; line-height: 115%"><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">Parent(s)/Guardian(s):
  39. ___________________________________________________________________________________________________</font></font></p>
  40. <p style="margin-bottom: 0.14in; line-height: 115%"><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">Relationship:
  41. ___________________________________________________________________________________________________________</font></font></p>
  42. <p style="margin-bottom: 0.14in; line-height: 115%"><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">Address:
  43. ______________________________________________________________________________________________________________</font></font></p>
  44. <p style="margin-bottom: 0.14in; line-height: 115%"><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">E-mail
  45. Address:
  46. ________________________________________________________________________________________________________</font></font></p>
  47. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">Phone
  48. #’s:  Home: ________________      Cell: _________________     Emergency:
  49. ________________________</font></font></p>
  50. <p style="margin-bottom: 0in; line-height: 100%"><br>
  51. </p>
  52. <p style="margin-left: 0.5in; text-indent: 0.5in; margin-bottom: 0in; line-height: 100%">
  53. <br>
  54. </p>
  55. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><u>Spring
  56. Soccer</u></font><font face="Arial Narrow, sans-serif">:            </font><font face="Arial Narrow, sans-serif"><u>Summer
  57. Soccer</u></font><font face="Arial Narrow, sans-serif">:                    </font><font face="Arial Narrow, sans-serif"><u>Baseball</u></font><font face="Arial Narrow, sans-serif">:</font></p>
  58. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">Grade
  59. 3 thru 5 ______     Ages   8-10  ______             T-ball/Coach Pitch (Boys 5-7/
  60. Girls 5-8) ______</font></font></p>
  61. <p style="margin-bottom: 0in; line-height: 100%"><br>
  62. </p>
  63. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">Grade
  64. K thru 2______      Ages 11-13  ______              Grasshopper (Ages 7-9 as of
  65. April 30</font></font><sup><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">th</font></font></sup><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">)
  66. ______</font></font></p>
  67. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">                                      </font></font></p>
  68. <p align="center" style="margin-left: 4.5in; margin-bottom: 0in; line-height: 100%">
  69.           <font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">Pee
  70. Wee (Ages 10-12 as of April 30)   ______</font></font></p>
  71. <p style="margin-bottom: 0in; line-height: 100%"><br>
  72. </p>
  73. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><u>Golf</u></font><font face="Arial Narrow, sans-serif">:                </font><font face="Arial Narrow, sans-serif"><u>Softball</u></font><font face="Arial Narrow, sans-serif">:                      </font><font face="Arial Narrow, sans-serif"><u>Pop
  74. Warner Football</u></font><font face="Arial Narrow, sans-serif">:</font></p>
  75. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">Ages
  76. 8-14 ______</font></font><font face="Arial Narrow, sans-serif">         </font><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">U10
  77.         as of April 30</font></font><sup><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">th</font></font></sup><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">
  78. ______      Mites (Ages 7-9)            ______</font></font></p>
  79. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif">             </font></p>
  80. <p style="margin-left: 1.5in; text-indent: 0.5in; margin-bottom: 0in; line-height: 100%">
  81. <font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">U12        as
  82. of April 30</font></font><sup><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">th</font></font></sup><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">______        Pee
  83. Wee (Ages 10-12)        ______</font></font></p>
  84. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">              </font></font></p>
  85. <p style="margin-left: 1.5in; text-indent: 0.5in; margin-bottom: 0in; line-height: 100%">
  86. <font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">U14        as
  87. of April 30</font></font><sup><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">th</font></font></sup><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">______        </font></font></p>
  88. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><u>Youth
  89. Lacrosse</u></font><font face="Arial Narrow, sans-serif">                                   </font><font face="Arial Narrow, sans-serif"><u>Pop
  90. Warner Cheer</u></font><font face="Arial Narrow, sans-serif">:</font></p>
  91. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif">                                     </font><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">Mitey
  92. Mite (Ages 7-9)     ______</font></font></p>
  93. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif">Boys
  94. &amp; Girls (3</font><sup><font face="Arial Narrow, sans-serif">rd</font></sup><font face="Arial Narrow, sans-serif">
  95. grade &amp; above)  _____                                       </font></p>
  96. <p style="margin-left: 4.5in; text-indent: 0.5in; margin-bottom: 0in; line-height: 100%">
  97. <font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">Pee
  98. Wee (Ages 10-12)        ______</font></font></p>
  99. <p align="center" style="margin-bottom: 0in; line-height: 100%"><br>
  100. </p>
  101. <p style="margin-bottom: 0in; line-height: 100%"><br>
  102. </p>
  103. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><b>Youth
  104. Expectations</b></font><font face="Arial Narrow, sans-serif">:                          </font><font face="Arial Narrow, sans-serif"><b>Parent/Guardian
  105. Expectations</b></font><font face="Arial Narrow, sans-serif">:</font></p>
  106. <ol>
  107.     <li><p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif">You
  108.     are a member of a team.  We play </font><font face="Arial Narrow, sans-serif"><i>TEAM</i></font><font face="Arial Narrow, sans-serif">
  109.     sports.         1.  Encourage your youth to practice at home.</font></p>
  110.     <li><p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif">Treat
  111.     others with respect.  No teasing, yelling, or           2.  Assist your
  112.     youth with getting to and being on time</font></p>
  113.     <li><p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif">calling
  114.     names at others.                             for practices.</font></p>
  115.     <li><p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif">No
  116.     foul language.                          3.  Support your youth and his/her team…be a
  117.     good</font></p>
  118.     <li><p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif">Show
  119.     up on time and be ready to practice.                     spectator.</font></p>
  120.     <li><p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif">Listen
  121.     the first time, all the time.</font></p>
  122.     <li><p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif">Bring
  123.     the right attitude to practice.</font></p>
  124. </ol>
  125. <p style="margin-bottom: 0in; line-height: 100%"><br>
  126. </p>
  127. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><font size="2" style="font-size: 10pt">I/We,
  128. the parent or guardian of the above named child hereby gives my/our
  129. permission for said child to participate in the above (checked)
  130. program during the 2014 Season.  I/We understand that all information
  131. provided is accurate.  I/We will not hold the Clayton Youth
  132. Commission, Town/Village of Clayton, TI Central School, Directors or
  133. Volunteers liable for any injuries that may occur.  Also, I/We
  134. further understand that the Clayton Youth Commission does not carry
  135. health insurance and I/We will be responsible for any and all medical
  136. bills that may arise.</font></font></p>
  137. <p style="margin-bottom: 0in; line-height: 100%"><br>
  138. </p>
  139. <p style="margin-bottom: 0in; line-height: 100%"><font face="Comic Sans MS, sans-serif">______________________________      _______________________________________</font></p>
  140. <p style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><b>Youth
  141. Signature</b></font><font face="Arial Narrow, sans-serif">                  </font><font face="Arial Narrow, sans-serif"><b>
  142.                  Parent/Guardian Signature</b></font></p>
  143. <p style="margin-bottom: 0in; line-height: 100%"><br>
  144. </p>
  145. <p style="margin-bottom: 0in; line-height: 100%"><br>
  146. </p>
  147. <p align="center" style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><b>-
  148. Continue on Back Side -</b></font></p>
  149. <p align="center" style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><font size="6" style="font-size: 22pt"><u><b>Ethnicity</b></u></font></font></p>
  150. <p align="center" style="margin-bottom: 0in; line-height: 100%"><br>
  151. </p>
  152. <p align="center" style="margin-bottom: 0in; line-height: 100%"><font face="Arial Narrow, sans-serif"><font size="3" style="font-size: 12pt">Please
  153. indicate below what ethnic group(s) you would consider your child
  154. part of. This is not required, but the Youth Commission needs to
  155. report, as well as we can, the ethnic background of participants in
  156. our programs.</font></font></p>
  157. <p style="margin-left: 0.5in; margin-bottom: 0in; line-height: 100%"><br>
  158. </p>
  159. <p style="margin-left: 1in; text-indent: 0.5in; margin-bottom: 0in; line-height: 100%">
  160. <font face="Arial Narrow, sans-serif"><font size="3" style="font-size: 12pt">American
  161. Indian</font></font><font face="Arial Narrow, sans-serif"><font size="3" style="font-size: 12pt"><b>__
  162. </b></font></font><font face="Arial Narrow, sans-serif"><font size="3" style="font-size: 12pt">Asian__
  163. Black or African American__  </font></font>
  164. </p>
  165. <p style="margin-left: 0.5in; text-indent: 0.5in; margin-bottom: 0in; line-height: 100%">
  166. <br>
  167. </p>
  168. <p style="margin-left: 1in; text-indent: 0.5in; margin-bottom: 0in; line-height: 100%">
  169. <font face="Arial Narrow, sans-serif"><font size="3" style="font-size: 12pt">Hawaiian/Pacific
  170. Islander</font></font><font face="Arial Narrow, sans-serif"><font size="3" style="font-size: 12pt"><b>__
  171. </b></font></font><font face="Arial Narrow, sans-serif"><font size="3" style="font-size: 12pt">Hispanic/Latino__
  172.          White__  </font></font>
  173. </p>
  174. <p style="margin-bottom: 0.14in; line-height: 115%"><br><br>
  175. </p>
  176. <p style="margin-bottom: 0.14in; line-height: 115%"><br><br>
  177. </p>
  178. <p align="center" style="margin-bottom: 0.14in; line-height: 115%"><font color="#000000"><font face="Arial Narrow, sans-serif"><font size="6" style="font-size: 22pt"><u><b>Clayton
  179. Youth Commission Code of Conduct</b></u></font></font></font></p>
  180. <p align="center" style="margin-bottom: 0.14in; line-height: 115%"><br><br>
  181. </p>
  182. <p style="margin-bottom: 0.14in; line-height: 115%"><font color="#000000"><font face="Arial Narrow, sans-serif"><font size="4" style="font-size: 14pt"><b>Clayton
  183. Youth Commission is committed to providing a safe and productive
  184. environment for children’s activities.</b></font></font></font></p>
  185. <p align="center" style="margin-bottom: 0.14in; line-height: 115%"><br><br>
  186. </p>
  187. <p style="margin-bottom: 0.14in; line-height: 115%"><font color="#000000"><font face="Arial Narrow, sans-serif"><font size="4" style="font-size: 14pt"><b>I
  188. &shy;&shy;&shy;&shy;&shy;&shy;______________________, and
  189. ________________________ (parent(s)/guardian(s) and
  190. _______________________ (child) agree to promote a safe and
  191. productive environment for all children via our own conduct.  We
  192. agree to refrain from negative and/or abusive behavior at all Clayton
  193. Youth Commission events, including home and away activities.
  194. Negative behavior consists of both verbal and physical actions.  We
  195. agree that all participants, to include players, officials, coaches,
  196. and spectators, are to be treated with respect. </b></font></font></font>
  197. </p>
  198. <p style="margin-bottom: 0.14in; line-height: 115%"><br><br>
  199. </p>
  200. <p style="margin-bottom: 0.14in; line-height: 115%"><font color="#000000"><font face="Arial Narrow, sans-serif"><font size="4" style="font-size: 14pt"><b>Signature
  201.  _____________________   Parent#1/Guardian #1         Date:</b></font></font></font></p>
  202. <p style="margin-bottom: 0.14in; line-height: 115%"><br><br>
  203. </p>
  204. <p style="margin-bottom: 0.14in; line-height: 115%"><font color="#000000"><font face="Arial Narrow, sans-serif"><font size="4" style="font-size: 14pt"><b>Signature
  205. ______________________ Parent #2/ Guardian #2        Date:</b></font></font></font></p>
  206. <p style="margin-bottom: 0.14in; line-height: 115%"><br><br>
  207. </p>
  208. <p style="margin-bottom: 0.14in; line-height: 115%"><font color="#000000"><font face="Arial Narrow, sans-serif"><font size="4" style="font-size: 14pt"><b>Signature
  209. ______________________  Child                                      
  210. Date: </b></font></font></font>
  211. </p>
  212. <p style="margin-bottom: 0.14in; line-height: 115%"><br><br>
  213. </p>
  214. </body>
  215. </html>
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