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Join Us
Home
About
Board of Directors
Staff
Grants, Scholarships & ‘Other’ Funding
Micro-Grant Guidelines
Micro-Grant Pre-Application
Scholarship Fund Guidelines
Scholarship Fund Application
Guidelines for Requesting ‘Other’ Financial Support
Joy of Sports & PNC Triple-Impact Competitor Scholarship
Register
Spin-the-Spokes : Improve Your Bike-Ability
PlayFit Youth Sport Program
Resources
Positive Coaching Alliance
Double-Goal Coach®
The Second-Goal Parent®
Triple-Impact Competitor®
Rec Org Business Services
Links to Additional Resources
Physical Activity Resources for Families During Coronavirus Quarantine & Beyond
Donate
Recreational Organizations
Hershey Soccer Club
Hershey Youth Field Hockey
Hershey Youth Basketball Association
Hershey Little League
Hershey Youth Football Association
Trojan Youth Wrestling
Hershey Lacrosse Association
Hershey Girls Softball Association
Hershey Blaze Track Club
Hershey Aquatic Club
Hershey Jr. Bears
Hershey Flag Football
Join Us
REGISTRATION IS CLOSED. Kickball-a-Palooza Registration Form.
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REGISTRATION IS CLOSED. Kickball-a-Palooza Registration Form.
Please enable JavaScript in your browser to complete this form.
Name of Parent/Guardian
*
First
Last
Email
*
Emergency Contact Cell Phone
*
Name of Secondary Emergency Contact:
*
First
Last
Relationship to Participant:
Secondary Emergency Contact Cell Phone
*
Name of Player
*
First
Last
Date of Birth
*
Name of individuals you child may be released to:
All participants under the age of 12 are required to be released to a designated parent/guardian or adult.
Gender
*
Female
Male
Grade
*
Grades 1 - 3 at 1:00 - 1:50 PM
Grades 4 - 6 at 2:00 - 3:00 PM.
We are offering two sessions intentionally grouped by grade for safety. Grades 1 - 3 will be at 1:00 - 1:50 PM and Grades 4 - 6 will play at 2:00 - 3:00 PM.
Joy of Sports Foundation Photo Clearance.
*
I DO grant Joy of Sports Foundation permission to include my child for marketing purposes.
I DO NOT grant Joy of Sports Foundation permission to include my child in photos for marketing purposes.
Comment or Message
If additional siblings will be participating, please list the names, gender and age above. Also, please list parent/guardian names if you intend to play.
Available Items
*
1 Kickball registration
registration fee includes parents/guardians and siblings
Total
$ 0.00
Comment
Submit