Edna Rec Youth Basketball Registration
Edna Youth Basketball is open to children in 3rd - 6th grades.
**You will need to submit a separate registration form for each child in your household.**
Once you have submitted your initial registration form, the link to register an additional player will appear on your final confirmation screen. From there, you can complete the process for any additional 4th - 6th grade child/ren in your household, whom you would like to register.
All registration fees MUST be paid by Monday, October 14th. WE NOW ACCEPT ONLINE PAYMENTS!! Alternatively, payments may also be made via cash or check to the Edna City Office. Please make checks payable to Edna Recreation and include a note/memo indicating your child's name when submitting your payment.
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Full Name of Player *
*
Date of Birth
Grade  *
School of Attendance *
Parent/Guardian Name *
Primary Phone *
Can receive text messages? *
Emergency Contact (other than parent) - Name/Phone *
Parent Interested In (please check all that apply): *
Required
NOTE: Anyone interested in coaching or assisting MUST submit a separate, completed Coach's Application by October 1st. Applications can be found on our Facebook page or via this link: www.ednarec.org --Please choose one of the following options below. *
Registration cost $15/child. Due October 14th
Payments may be paid online by following the link provided in the final confirmation screen or by cash/check, dropped off at Edna City Office (209 N. Delaware). How do you plan to submit your payment? *
Please read the following carefully.  **I, the parent of the above named player, give permission for my child to participate in Edna Recreational Basketball.  I understand that the league does not offer insurance and I agree to take full responsibility for my child, in the event of accident or injury.  I also release the coach, school, school district, and league of all liability from any injury which may occur during practice or game sessions.** Please enter your name and today's date into the field below.  This will serve as your electronic signature, confirming that you have read and agree to all of the information contained on this form. (Parent or Guardian Name/Date) *
For any questions or comments, feel free to use the space below, or please contact our Edna Recreation Board Members via their contact information below: David Weil (620) 820-3728, Mike Allison (620) 423-4854, Erica Horn (620) 238-4376, Leroy Kastler (620) 252-9544. Thank you! We're looking forward to another great season!!
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