EGCS Basketball Sign Up
Sign Up Sheet
Email address *
Child's Last Name *
Your answer
Child's First Name and Middle Initial *
Your answer
Child's Full Address (city, state, and zip) *
Your answer
Male or Female? *
Child's Birth Date *
MM
/
DD
/
YYYY
Child's Age *
Your answer
Child's Grade *
Your answer
Number of Years Played *
Your answer
T-Shirt Size *
All Games Are on Saturday. Is there a day your child cannot attend practice? *
Your answer
If you have a special need or request, please let us know. Special requests will be considered but may not be able to be granted.
Your answer
Parent / guardian name and cell phone *
Your answer
Parent / guardian name and cell phone *
Your answer
Parents / guardians emails *
Your answer
Please list any medical conditions your child currently has.
Your answer
If you wish to request a half-scholarship, please indicate below (You will need to bring in your free and reduced lunch application)
If you are willing to coach, please indicate below
Thank you for being willing to coach. Please give the best phone to contact you at and give your email address below.
Your answer
PLEASE READ CAREFULLY AND TYPE YOUR NAME AND DATE BELOW: Waiver of liability and disclaimer:I the parent or guardian of the above named individual, acknowledge that participation in athletic events necessarily involves risk of physical injury. I further acknowledge that the program of the Shooting for Christ Youth Basketball League is primarily administered by parents, who volunteer their time, rather than paid professionals. In consideration for accepting the registration of the above named individual and permitting the voluntary participation of said individual in this program, I hereby release, discharge, and hold harmless East Grand Community Services, its volunteers and other representatives from any claims arising out of, or relating to, physical injury that may result to said individual while participating in the sponsored events. This includes, but is not limited to any physical injury by the negligence of any official, referee or coach while performing his/her duties during any practices or games. All fees must be paid by the first practice in order to play. By typing your name below and giving the date, you agree to the above:
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