Tigers Basketball Registration 2019-2020
2nd-8th grade boys and girls St. Ambrose basketball registration 2019-2020
Email address *
School Attending 2019-2020 *
Registered Parish *
Student athlete must attend JE Cosgriff School or family must be parishioners of St Ambrose.
Your answer
Athlete First Name *
Your answer
Athlete Last Name *
Your answer
Grade *
Skill Level 1-5 (1- just beginning- 5 skills well above average) *
Your answer
Parent/Guardian #1 First and Last Name *
Your answer
Parent/Guardian #1 e-mail (if different than the one registered)
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Parent/Guardian #1 Phone Number *
Your answer
Parent/Guardian #2 First and Last Name *
Your answer
Parent/Guardian #2 e-mail *
Your answer
Parent/Guardian #2 Phone Number *
Your answer
Emergency Contact First and Last Name
Your answer
Emergency Contact Phone Number
Your answer
Emergency Contact Relation to Student Athlete
Your answer
As a parent I am willing to? *
Consent to Participate *
Read and Review with your student athlete, then electronically sign below (saving paper this year!) https://docs.google.com/document/d/1mxlvC94Q0GauruMlagG1k8IuWiSpePEBcZGp_flvdqo/edit?usp=sharing
Your answer
Code of Conduct *
Please Read and Review with your student athlete, then electronically sign below. https://drive.google.com/file/d/13BIdzK2F2TSZSJQQX6__Qz0epW6PDtPG/view
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Participant Uniform Size *
Participant Shorts Size (*If different from Jersey) *
Your answer
Permission to Use *
Relevant Medical Conditions?
Your answer
Any Medications?
Your answer
Sponsorship/Donation?
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Participation Fee $100 *Charged to FACTS on 11/1/19*
Electronic Signature *
Your answer
A copy of your responses will be emailed to the address you provided.
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