BRIDGEWATER GIRLS’ BASKETBALL
TOWN LEAGUE REGISTRATION ~ 2004
Player’s Name: __________________________________________________________
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: ______________________