2023 Girls’ Basketball 2023-Girls-Basketball-1 2023 Girls Basketball Player's Name First Last Full Address Street Address City Township AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail School Grade Age Gender Parents' Names Person Registering Child (If other than parent) Shirt Size Youth Small Youth Medium Youth Larger Small Medium Large Extra Large Select One Resident $50 Non-Resident $55 Division 2nd - 4th 4th - 6th *4th graders can play up or down*Registration Deadline - January 27th ($15 late fee after this date until February 3rd) Registration Closes February 3rd.WE CANNOT GUARANTEE REQUESTS. Volunteer Coaches determine their teams practice times. Therefore, we CAN-NOT honor requests regarding practice schedules. Older divisions (4th-7th gr) can only honor requests between siblings.My signature on this form verifies that I understand Thomas Township, its employees and volunteers, shall not be responsible for any injury to my child while participating in this basketball program. I waive and release Thomas Township from any and all claims.Concussion Information Acknowledgment(Required) I agree that I have read the concussion information provided above.Parent / Guardian SignatureDate MM slash DD slash YYYY Volunteer Coach Name: Coach's PhoneShirt Size
