2019-2020 Recreation Basketball Sign-Up
Participant FIRST Name
Your answer
Participant LAST Name
Your answer
Gender
Current Grade
Parent/Guardian Name(s)
Your answer
Cell Phone Number
Your answer
E-Mail Address
Your answer
Do you text?
Do you regularly check your e-mail?
Which method of contact would you prefer?
Are you interested in coaching?
By selecting “I agree.”, the parent/guardian understands that the Galva Recreation Commission and the cities of Canton and Galva shall not be responsible for or liable for any illness, injury to person, or damage to property resulting from the program in which parent/guardian is enrolling the above participant. The parent/guardian hereby forever releases and holds harmless the Galva Recreation Commission and the cities of Canton and Galva from any and all claims of any kind that the participant, or his/her executors, administrators or assigns may have or claim to have resulting from his/her participation in said program.
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