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Saturday Morning Basketball
2012-2013 Saturday Morning Basketball Registration Form
Registration 12/1
WHO: All Boys and Girls in 2nd, 3rd, 4th, 5th, and 6th grade interested in improving their basketball skills.
TIME: 8:45-10:30
DATES: Saturday?s, December 1st, 8th, 15th January 5th, 12th, 19th and February 2nd, 9th Coaches V Cancer nights Jan 8th/9th
WHERE: High School gymnasium
Registration: 12/1 8:30 am ? 9:30 am, come prepared to play and instruction will last until 10:30 am
STAFF: Jon Mastin, Boys? Varsity Basketball Coach
Mike Schunk, Girls? Varsity Basketball Coach
Mark Jacobs, Girls? JV Basketball Coach
Brett Macmillian, Boys? JV Basketball Coach
Boys and Girls JV and Varsity Players
PROGRAM INFO:
Each Saturday the time will be divided between instruction and league play.
SPONSOR: Center Court Club
COST: Registration fee of $50.00 is due at the December 1 st registration at the high school. (Late registrations is $60.00 and will be accepted up to Dec. 15th.) Make checks payable to: Center Court Club
For additional information, email BCenterCourtClub@gmail.com. Checks and completed forms can be mailed to: BCCC P.O. Box 250 Bloomfield, NY 14469 c/o Jody Weber. ----------------------------------------------------------------------------------------------------
Name _____________________________ Grade________ School BCS or HCS
Address_____________________________________________ Zip________
Home Phone ______________________and/or Cell_______________________
Email: _________________________
Contact Person in Case of Emergency_______________________ Phone_____________
Family Accident Holder_________________________ Policy #____________________
I hereby attest that my son/daughter is of sufficient fitness of mind and body to participate in the rigors of this basketball program and declare that I have accident/health insurance listed with the above named carrier and that any occurring injuries will be charged to my policy. I also understand that should my son/daughter not abide by the rules and regulations promulgated by the Program or Bloomfield High School, he/she is subject to dismissal from the Program without reimbursement. I hereby give my consent for my child?s participation in the league.
Signature of Parent or Guardian____________________________ Date_________
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T-Shirt Size S, M, L (youth)
S, M, L, XL (adult)
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Sponsorship Form
Bloomfield Center Court Club
Sponsorship Form
2010 - 2011
The Bloomfield Center Court Club is requesting a donation to be a sponsor for the Bloomfield basketball club.
The purpose of the donation is to support youth basketball in Bloomfield. Center Court Club assists in purchases of the extra items our students need that are not provided by the school; warm-up shirts, sweatshirts, water bottles, etc. We cannot pay the entire cost of some of these items but we look to reduce the cost to parents.
Below is a list of the various sponsorship levels.
Gold: $100.00 or more
·1 Name listed in all Bloomfield basketball programs
·2 Name, phone number and business URL and email address listed on our website
·3 Name listed on tournament t-shirts
Silver: $50.00
·4 Name listed in all Bloomfield basketball programs
·5 Name, phone number and email listed on our website
Bronze: $25.00 Patron level
·6 Name listed in all Bloomfield basketball programs
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Please include the following as appropriate for your level of sponsorship.
Sponsor name: ____________________________________
Phone number:_____________________________________
URL:______________________________________________
Email address: ___________________________________
Checks for donations should be made payable to: Bloomfield Center Court Club
They may be mailed to:
Bloomfield Center Court Club
c/o Jody Weber
PO Box 250
Bloomfield NY 14469
Thank you for your support.
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Bloomfield Travel
This form allows one player to register and provide contact and partent/guardian information
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Bloomfield Center Court Club |
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