2nd—4th GradeBasketball Blue-And-Red-Illustrative-Basketball-Tournament-Poster-8.5-x-11-in 2027 2nd-4th Grade Basketball Player Name First Last SchoolGradeAgeDivision Boys Girls Shirt Size Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult Extra Large Full Address(Required) 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 Phone(Required)Email(Required) Parents' Names(Required)Select One Resident $60 Non-Resident $70 Registration fee: Resident $60 Registration fee: Non-Resident $70 Checks payable to: Thomas Township General Fund – 249 N. Miller Rd. Saginaw, MI 48609 Registration Deadline – January 15th ($25 late fee after this date till January 22nd)) Registration Closes January 22nd)WE CANNOT GUARANTEE REQUESTS. Volunteer Coaches determine their teams practice times. We can only honor requests between siblings/family members.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 Town-ship from any and all claims.Concussion Information Acknowledgement(Required) I agree that I have read the concussion information provided above.Parent / Guardian Signature(Required)Your NameYour NameYour NameYour NameDate(Required)
