2018 Swift River Basketball Sign-Up
For Students in Kindergarten - Grade 2

Older kids will be considered, please inquire with Jo

Please complete and submit this form to register your child for Swift River Sports Basketball Skills and Drills.

Please bring $10.00 (or a check made payable to the Town of Wendell) on the first day; the cost for each additional child is $5.00 with a $20.00 cap per family. The cost includes a tee-shirt. If your family cannot afford the cost, please contact Johanna Fitzgerald at (978) 544-2398. If your child played soccer and already has a SRS Sports tee shirt, the cost to register for Basketball is only $5.00 (if you have a shirt from soccer and you have not yet paid, please do so ASAP).

Swift River Sports Basketball Skills and Drills will run from 1:30- 2:30 PM on SIX SATURDAYS starting May 5th in the SRS gym.

* Required Fields

Student Last Name: *
Your answer
Student First Name: *
Your answer
Parent Phone Number: *
Your answer
Parent Email: *
Your answer
Student Grade: *
Are you interested in Volunteering/Coaching/Refereeing? *
REQUIRED: PARTICIPATION WILL NOT BE ALLOWED IF THIS PART OF THE FORM IS NOT COMPLETED. Informed consent for participation in Swift River Sports: in consideration of the child listed above for participation in this volunteer-organized event, I hereby, for myself, heirs, executors, and assigns, waive and release any and all rights and claims for damages I may have against organizers, volunteers, and/or sponsors of the Swift River Sports Program, including Swift River School and the Town of Wendell, for any and all injuries or other damages in said program. *
Please type your first and last name to confirm that you understand and accept the above conditions.
Your answer
Date Signed: *
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Additional notes/information that you would like us to know about your child:
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