Jr. Patriots Intramural Basketball Registration

Jr. Patriot Intramural Basketball is a skills development program for boys and girls in kindergarten through 8th grade.
This skills development program teaches children the game of basketball through skill development drills and games. The clinics and games are each Saturday morning, January 6-February 24. Come join the fun!

REGISTRATION DEADLINE IS DECEMBER 22, 2017

COST: First child, $60.00; additional children in the same family, $30.00 each.
Entry fee includes t-shirt, skills training, and ball. The cost will be placed on your school bill.
*See website for division times, rules, and general information.

Email address *
Parent/Guardian's First Name *
Your answer
Parent/Guardian's Last Name *
Your answer
What is your Sycamore family code? *
Example: "EXA1040"
Your answer
Student 1 Name *
Your answer
Student 1 Grade *
Student 1 T-Shirt Size *
Student 2 Name
Your answer
Student 2 Grade
Student 2 T-Shirt Size
Student 3 Name
Your answer
Student 3 Grade
Student 3 T-Shirt Size
If you are interested in helping, please check one of the following:
Please type your name in acknowledgement of the Release Statement: I hereby assume all risks and release Grace Baptist Church and Wilmington Christian Academy, its employees and volunteers, from all liability whatsoever and from any injuries and/or accidents in connection with my child’s participation. In the event my child is injured, I hereby give permission to the physician or medical personnel selected to provide treatment deemed necessary by them. I intend this release and assumption to be binding not only for my child and myself but also on my family and all legal successors in interest. For the safe enjoyment of this program by all participants, Grace Baptist Church and Wilmington Christian Academy has established rules and regulations, and my child agrees to abide by them or accept dismissal for refusing to follow them. *
Your answer
A copy of your responses will be emailed to the address you provided.
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