Redeemer Boys' Basketball 2017-2018
Head Coach: Cooper Scurry

Participants: 6th to 8th grade boys

Cost: $85

Provided by Redeemer: Jersey & shorts (to be returned), Warm-Up shirt (to keep)

Students need to provide: Basketball shoes, socks

Season length: October 31, 2017 to February 2, 2018

Commitment level: 3 afternoons per week (most weeks are Tuesday, Thursday, Friday - either practices or games)

Location of practices and home matches: New Hope Presbyterian Church in Clemmons (parents responsible for transportation - Athletic Director will help with coordination of this).

Registration starts TODAY and the FINAL DEADLINE is FRIDAY, OCTOBER 27th. PLEASE register ASAP so that we can get an idea of how many guys are planning to participate. There is a possibility that we will need to have two teams this year, so it is VERY important that we get an idea of how many boys we expect to play. Guys will not be able to attend practice until all forms and payments are turned in.

To register, please fill out the form below for each child, including the Athletic Code of Conduct. After you submit the form, please bring the fee payment of $85 to the Redeemer School office. Registration is not complete until payment is made.

*Please read through the Athletic Code of Conduct WITH your student before typing in your electronic signature. This is a new way of actually signing the document, but following the guidelines is an incredibly important part of being either a parent or a student-athlete at Redeemer. We represent Redeemer everywhere we go; but more importantly, we represent Christ.*

Email address *
Student-Athlete Name: *
Your answer
Birthdate: *
Grade in 2017-2018: *
Parent/Guardian Name(s): *
Your answer
Best Phone Number(s): *
Your answer
Cell Phone Number(s) for Text Notifications: *
Your answer
Emergency Contact Name & Relationship: *
Please list the name and relationship of someone - other than a Parent/Guardian - who we can reach in the event of an emergency.
Your answer
Emergency Contact Phone Number: *
Your answer
Special Needs / Issues: *
Please note all allergies, medical issues, physical issues, or social/emotional/behavioral issues your child has, or concerns that you have regarding these issues for your child.
Your answer
Jersey Size *
T-Shirt Size *
Shorts Size *
Acknowledgement of Risk *
Typing my name below (as parent/guardian of student-athlete), signifies that I understand that participation in sports activities necessarily involves the risk of physical injury. I hereby agree to assume all risks of injury or damage to my child while participating in any Redeemer School sports activity. I further agree to indemnify and hold harmless Redeemer School and their agents and employees, for any injury or damage to my child.
Your answer
Registration Fee and Payment
The fee for Basketball is $85, which helps us take care of needs throughout the season. After submitting this form, your registration is not complete until payment is received in the Redeemer School office by October 27, 2017.
Almost finished! Please continue to the Athletic Code of Conduct.
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