Biddy Basketball

2012 REGISTRATION SIGN UPS

Thursday, November 28^th , Thursday, November 29th
3:00PM – 6:00PM
&
Saturday, December 1^st
12:00PM – 1:00PM
Bradley Beach/Neptune City Recreation Basketball

For Boys and Girls in Grades 2 – 8

Place:        BradleyBeachRecreationCenter

 Fee:            $25.00 (payable to Neptune City Board of Recreation)

           Players Name:  ____________________________________

          Grade: _____ Age: ______ Male: _______ Female:  ________

          Address:  _________________________________________       

          Phone Number:  ___________________________________

          E-Mail:  __________________________________________

          Emergency Contact:  ________________________________

          Emergency Phone Number:  __________________________

                   Shirt Size:           Youth    Small    Medium    Large

                                                Adult    Sm    Med    Large    X-Lrg

 Parents:  Volunteers are needed.  Please indicate where you can help.

          Coach (fingerprinting required)     Boys _____     Girls _____

          Asst. Coach                                         Boys _____     Girls _____

          Scorekeeper                                      Boys _____     Girls _____

          Referee                                              Boys _____     Girls _____ 

 As a Parent or Guardian of the above planed, I do hereby give my permission for him/her to participate in the Bradley Beach/Neptune City Recreation Basketball program.  I have read the attached rules and regulations of the program and agree to abide by them.  In case of injury to my child, I agree to hold harmless all volunteers, organizers, officers and coaches.  I agree to have my child act in a responsible and respectful manner, knowing he or she is subject to suspension and/or termination from the program.

 PARENTS SIGNATURE: ­­­­­­­­­­­______________________          DATE: _________