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Instructional Grades 1-3 $100- all camps are at Mohegan
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Grade:
1
2
3
4
*
Shirt Size:
YM
YL
AS
AM
AL
A XL
*
Gender:
F
*
Returner / New Player Instructional:
Returning Instructional player from last year
New / First Year of Instructional for the league
PARENT/GUARDIAN #1
*
First name:
*
Last Name:
*
Parent, Guardian or Adult E-mail:
*
Street:
*
City:
*
State:
*
Email:
*
Cell Phone:
Interested in Coaching - Head or Asst:
Head Coach
Asst Coach
MEDICAL/EMERGENCY INFORMATION
CONSENT FOR MEDICAL TREATMENT OF MINOR
As the parent or guardian of the above named player, I hereby give consent for emergency medical care prescribed by a duly licensed doctor of medicine or doctor of dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well being of my dependent.
*
Consent:
WAIVER INFORMATION
I, the parent/guardian of the registrant, a minor, agree that the registrant and I will abide by all the rules set forth by the SGRB organization and its sponsors. Recognizing the possibility of physical injury associated with competitive and recreational basketball and in consideration for the SGRB accepting the registrant for its basketball programs and related activities, I hereby release, discharge and/or otherwise indemnify the SGRB, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of gyms, fields and like facilities utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrant's participation in the SGRB and/or being transported to or from the same which transportation I hereby authorize.
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.
I further acknowledge that SGRB has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I further acknowledge that SGRB can not guarantee that my child will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the activities and drills provided at camp/practices/games at no fault of their own.
*
Consent:
If you have a second child to register- type in below fields
Second Child Name:
Second Child Grade:
1
2
3
4
5
6
7
8
9
Second Child Level of Play - Instr/JV/V:
Instructional
JV
V
Second Child Shirt Size:
YM
YL
AS
AM
AL
* indicates required fields
SELECT FEE
$100.00 - Registration Fee
Online Charge to pay by CC($5)
*
Second Family Member if playing Instructional Camp($90)
Second Family Member Fee if Playing Rec League($100)