BRIDGEWATER GIRLS’ BASKETBALL

TOWN LEAGUE REGISTRATION ~ 2004

 

 

Player’s Name:  __________________________________________________________

 

Address:    ______________________________________________________________

 

Telephone: ______________________________________________________________

 

Age: ___________  Grade: ______________   School:  ___________________________

 

Returning Player:  _______________               New Player ____________________

 

 

Fee:  $30.00                                         Additional Family Members:  $20.00

 

 

            I, Parent/Guardian of the above named player, hereby give my permission for him to participate in the Biddy Basketball Program.

 

            I assume all responsibility and hereby waive, release and absolve the Bridgewater Biddy League, officers and coaches from any liability arising out of an injury, whether the results of negligence or for any cause, except to the extent and in the amount covered by accident or liability insurance.

 

 

_____________________                  __________________________________________

                 Date                                                           Parent/Guardian Signature

 

 

Shirt Size:  All Adult Sizes (circle one)       S      M      L     XL                     

 

 

Parents interested in helping out, please indicate below:

 

Coach: ________                    Assistant Coach: ________                Scorekeeper: ________

 

Name:______________________________________ Phone: ______________________