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    Tip-Off Squad Reg.

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    Rec Ops Leader
    This document is a registration form for a 5th-7th grade basketball tip-off squad at the Bidarki Recreation Center. It requests the participant's name, age, grade, and contact information of the parent or guardian. The parent must sign to give permission for their child to participate and waive any liability of injury, as no insurance is provided by the recreation center. Space is also included for office use only regarding membership type and payment authorization.

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    Tip-Off Squad Reg.

    Uploaded by

    Rec Ops Leader
    10 views1 page
    This document is a registration form for a 5th-7th grade basketball tip-off squad at the Bidarki Recreation Center. It requests the participant's name, age, grade, and contact information of the parent or guardian. The parent must sign to give permission for their child to participate and waive any liability of injury, as no insurance is provided by the recreation center. Space is also included for office use only regarding membership type and payment authorization.

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    This document is a registration form for a 5th-7th grade basketball tip-off squad at the Bidarki Recreation Center. It requests the participant's name, age, grade, and contact information of the parent or guardian. The parent must sign to give permission for their child to participate and waive any liability of injury, as no insurance is provided by the recreation center. Space is also included for office use only regarding membership type and payment authorization.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    10 views1 page

    Tip-Off Squad Reg.

    Uploaded by

    Rec Ops Leader
    This document is a registration form for a 5th-7th grade basketball tip-off squad at the Bidarki Recreation Center. It requests the participant's name, age, grade, and contact information of the parent or guardian. The parent must sign to give permission for their child to participate and waive any liability of injury, as no insurance is provided by the recreation center. Space is also included for office use only regarding membership type and payment authorization.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    5th-7th Tip-Off Squad Registration

    Due By Sat Dec 15th Turn in @ Bidarki

    Name:___________________________________ Age/Grade: ______________ /_____________ Parent/Guardian:______________________ Contact #:______________________________ Email:__________________________________

    I give permission for _______________________________________ to participate in 5ht-6th grade Basketball at Bidarki Recreation Center. I understand the risk of injury involved with my childs participation in this activity and use of Bidarki Recreation Center. I hereby waive and release the City of Cordova/Bidarki Rec. Center, their agents, instructors, volunteers, and employees for any and all injuries my child may incur while participating directly and/or indirectly in any of the activities occurring at Bidarki Recreation Center. I also understand that there is no insurance provided by the City of Cordova while attending or participating in any of the activities at the Bidarki Recreation Center.

    Parent/Guardians Signature: ___________________________________Date:_______

    ________________________office use_________________ Membership Type (please circle one): xFAMILY x CORPRATE x YOUTH x DROP-IN x Drop-in & corporate must pay $20 program fee Payment type: ________ Staff Authorization:________

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