Child's Name

Address

City Zip

Phone School Grade Age

Parents' Names

Email

Shirt Size: ---Youth Small 6/8Youth Medium 10/12Youth Large 14/16Adult SmallAdult MediumAdult LargeAdult XLarge

*If you order the wrong size shirt & request a new one, there will be a $10 fee to order a new one

League: ---2nd-3rd-4th4th-5th-6th

4th graders can play up or down

Fee: ---$50 Resident$55 Non-Resident

Checking the box below verifies that I understand Thomas Township, its employees and volunteers, and Swan Valley School District shall not be responsible for any injury to my child while participating in this basketball program. I waive and release Thomas Township, its employees and volunteers, and Swan Valley School District from any and all claims.

I agree

I would like to coach a team

I agree

Coach Shirt Size: ---Adult SmallAdult MediumAdult LargeAdult XLarge

We do our best to honor requests but we DO NOT guarantee them. Volunteer Coaches determine their teams practice times. Therefore, we CANNOT guarantee requests regarding practice times. Drafted leagues (4th-5th-6th grades) can only honor requests between siblings