One Eighty Basketball Registration Form

One Eighty Basketball Registration Form
For the 2019-2020 school year we are offering 4th and 5th grade boys and girls at Jefferson, Hayes and Monroe the opportunity to play basketball for FREE in our One Eighty League. Students MUST be in 4th or 5th grade AND attend one of the following schools: Jefferson, Hayes or Monroe. **At this time Hayes and Monroe is full**
Details:
• Practices Tuesday evenings in December; Games in January and February on Tuesday evenings at one of the school gyms
• This is a recreational level league for kids of all skills levels
• All equipment and uniform jerseys provided; YOU provide athletic shoes appropriate for gym, shorts and transportation to games
• 24 player spots available per school (first-come, first-served)
• Teams will participate in a short Christian devotional during practices for student character development
**This is a free basketball league – there is no cost for your student to play. In return, we require that your student practice once per week and be at each game, wearing the provided uniform, ready to play and on time. We ask for a commitment from guardians to ensure your student has a spot reserved on the team.
What grade is your child in?*
4th grade5th grade
What school does your child attend?*
JeffersonHayes
Child's Name*
First NameLast Name
Does your child have any allergies, medical conditions or behavioral disorders we should be aware of?*
Child's age as of Dec 1st, 2019:*
Is this child a boy or girl?*
BoyGirl
Parent/Guardian Name*
First NameLast Name
Phone Number- **please provide a number that we can send a text to for reminders and cancellations***
Area CodePhone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Emergency Contact *
First NameLast Name
Emergency Contact Phone Number*
Area CodePhone Number
What size basketball jersey would your child like?*
Youth SmallYouth MediumYouth LargeYouth Extra LargeAdult SmallAdult MediumAdult LargeAdult Extra Large
Please read carefully:
By signing below, I agree to the following.
I will not hold One Eighty responsible for any accidents or injuries that may happen to my child during transportation, practice, or games. I agree that One Eighty holds the rights to all photos taken and may use them for marketing purposes. I commit to having my child ready and prepared for all games and practices and will do my best to transport my child to those games and practices. I commit to being a positive team parent, saying positive things to my student, teammates, coaches and referees. I will not speak poorly of or disrespectfully to coaches and referees.
Signature
Clear
These materials are neither endorsed nor sponsored by the Davenport Community School District, nor does the school district take any position with regards to the materials presented.
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