Spring League Registration
    1.  

    2. Parent / Guardian / Caretaker #1

    3.  

    4.  

    5. Address
    6.  

    7.  

    8. Click here to add another Parent/Guardian/Caretaker
    9. Parent / Guardian / Caretaker #2

    10.  

    11.  

    12. Address
    13.  

    14.  

    15. VerbalSign LanguageCommunication BoardOther (please specify below)
    16. AmbulatoryUses WheelchairUses WalkerOther (please specify below)
    17. Youth SmallYouth MediumYouth LargeYouth Extra Large
    18. Adult SmallAdult MediumAdult LargeAdult Extra Large
    19. YouthAdult
    20.  

    21.  


    * Required

    If you would like to pay by check, please click “Register For Spring Season”. When you come to the payment page, close it, and mail us your check. When we have received your payment, we will mark your registration as complete! Thank you!
     
    Please mail checks to:
     
    Fairfield Family YMCA
    ATTN: Damon Knoche
    5220 Bibury Road
    Fairfield, OH 45014

      Fall League Registration
      1.  

      2. Parent / Guardian / Caretaker #1

      3.  

      4.  

      5. Address
      6.  

      7.  

      8. Click here to add another Parent/Guardian/Caretaker
      9. Parent / Guardian / Caretaker #2

      10.  

      11.  

      12. Address
      13.  

      14.  

      15. VerbalSign LanguageCommunication BoardOther (please specify below)
      16. AmbulatoryUses WheelchairUses WalkerOther (please specify below)
      17. Youth SmallYouth MediumYouth LargeYouth Extra Large
      18. Adult SmallAdult MediumAdult LargeAdult Extra Large
      19. YouthAdult
      20.  

      21.  


      * Required

      If you would like to pay by check, please click “Register For Fall Season”. When you come to the payment page, close it, and mail us your check. When we have received your payment, we will mark your registration as complete! Thank you!
       
      Please mail checks to:
       
      Fairfield Family YMCA
      ATTN: Damon Knoche
      5220 Bibury Road
      Fairfield, OH 45014

        Spring and Fall League Registration
        1.  

        2. Parent / Guardian / Caretaker #1

        3.  

        4.  

        5. Address
        6.  

        7.  

        8. Click here to add another Parent/Guardian/Caretaker
        9. Parent / Guardian / Caretaker #2

        10.  

        11.  

        12. Address
        13.  

        14.  

        15. VerbalSign LanguageCommunication BoardOther (please specify below)
        16. AmbulatoryUses WheelchairUses WalkerOther (please specify below)
        17. Youth SmallYouth MediumYouth LargeYouth Extra Large
        18. Adult SmallAdult MediumAdult LargeAdult Extra Large
        19. YouthAdult
        20.  

        21.  


        * Required

        If you would like to pay by check, please click “Register For Both Seasons”. When you come to the payment page, close it, and mail us your check. When we have received your payment, we will mark your registration as complete! Thank you!
         
        Please mail checks to:
         
        Fairfield Family YMCA
        ATTN: Damon Knoche
        5220 Bibury Road
        Fairfield, OH 45014

        The Joe Nuxhall Miracle League Fields 501(c)(3)
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