2017 SIXTH GRADE BOYS BASKETBALL REGISTRATION

First Practice: Monday, Nov. 6th @ Wahpeton Middle School

Schedule: Mondays, Tuesdays & Thursdays from 6:00-7:00pm @ Wahp Middle School. Runs through December 14th. Please carry tennis shoes into the gym.

Cost: $30.00

This grade will participate in the Kiwanis Little Guy basketball tournament held here in Wahpeton on Saturday, December 16, 2017.

6th Grade Head Coach/Coordinator: Jay Malme

Please read this form carefully and be aware that in registering yourself or your minor child/ward for participation in the above program, you will be waiving and releasing all claims to injuries you or your child/ward might sustain arising out of the above program.

I recognize and acknowledge that there are certain risks of physical injury to participate in the above program and I agree to assume the full risk if any such injuries, damages or loss regardless of severity which I or my child/ward may sustain as a result of participating in any activities connected or associated with any such program. I waive and relinquish all claims that I, my insurer, or my child/ward may have against the Park Board and its officers, agents, servants and employees from any and all claims from injuries, damages or loss which I or may child/ward may have or which may accrue to me or my child/ward on account of my participation of my child/ward in the above program.

I HAVE READ AND FULLY UNDERSTAND THE ABOVE DETAILS AND WAIVER AND RELEASE OF ALL CLAIMS. *
Player's Name*
Parent/Guardian Name*
Grade:*
Parent Phone*
Alternate phone:
Email Address*
Address:*
T-Shirt Size:*
Any medical information we need to be aware of?
Are you willing to help coach? Provide name and phone number:
Fee:
 $ 
 . 
Prove you aren't a robot:

You will be redirected to PayPal when you hit submit.