Girls League Only Registration Form - Grades K - 8

PLAYER INFORMATION
PARENT/GUARDIAN #1
PARENT/GUARDIAN #2 {Optional}*

WAIVER: I understand and accept the condition that neither Saints Girls Basketball, Mary Queen of Peace, facilities used, or anyone associated with this program assumes any responsibility for any accidents and/or medical, dental expenses incurred as a result of participation in this program. The applicant is in good health and able to participate fully with no restrictions. The applicant is covered by the insurance listed above.
Fee: $150.00 per player/$250.00 for 2 players/$325.00 for 3 or more players. Please make checks payable to Mary Queen of Peace. Form & payment may be mailed/dropped off to: Steve Burgholzer, 13 Lewis St., Medford, Ma. 02155

FOR LEAGUE USE ONLY:
 

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