Wells Girls Basketball Registration Form

PLAYER INFORMATION


PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION
I/we, the parents or legal guardians of the above candidate for a position on the Wells basketball team, hereby give my/our approval to her participation in any and all league activities.

I/we assume all risks and hazards incidental to such participation including transportation to and from the activities and I/we do hereby waive, release, absolve, indemnify and agree to hold harmless Wells athletic association, Inc., the organizers, sponsors, supervisors, participants and persons transporting my/our daughter. I have read the code of conduct and understand said document.

I/we agree to return all uniforms and other equipment issued to my/our daughter in as good a condition as when we received, except for normal wear and tear.

I/we will furnish a birth certificate or other proof of birth of the above named candidate at her initial sign in.

I/we will participate in the league’s fund raising projects, and see that all money and unsold merchandise is returned to the designated individuals when due.

Signature(s) signify understanding of the agreement to all dues, fees and duties associated with/for Wells basketball. All returned checks will be charged and fees incurred by said association.

I/we will provide proper basketball equipment (basketball shoes) for our daughter as required by said league rules (Chesterfield Girls Basketball League).

* required


Payments Accepted By

Note: Credit Card information can be entered once this form is submitted