FALCON INTRAMURAL BASKETBALL LEAGUE AND CLINIC
CLINIC IS OPEN TO BOYS AND GIRLS GRADES PREK- 2ND   
LEAGUE GAMES 3 RD GRADE THROUGH 8 
ENTERING GRADE AS OF SEPTEMBER 2022

COST $150 PER PLAYER
INCLUDES ALL REF FEES AND UNIFORM JERSEY

GAMES WILL BEGIN END OF OCTOBER AND RUN THROUGH END OF JANUARY
CLINICS WILL BEGIN THE END OF OCTOBER AND RUN SUNDAYS PREK AND K 830-930AM, 1ST GRADE 930-1030 AND 2ND GRADE 1030-1130


More information Call Rich Nellis 917-596-2539 or email coachnellis32@gmail.com or Brian Lyons lyonsb17@yahoo.com
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Players Last Name  *
Player's First Name *
Mother's Name  *
Father's name *
Address *
Home Phone *
Cell Phone *
Email Address *
Current Grade as of September 2022 *
Gender *
School Name *
Shirt Size *
Have you played Intramurals at St Teresa before? *
Required
Does Your Child Play CYO? *
Required
If yes Where do you play CYO?
Will your child tryout for CYO this year?
Did you play CYO last year? *
Required
If yes, Where? *
Are you a St Teresa Parishioner? *
Required
Do you attend St Teresa/St Rita STREAM Academy? *
Required
Do you attend CCD at St Teresa? *
Required
Do you live within the St Teresa Parish Boundaries *
Required
Waiver: I certify that my child is in good health and physical condition and has my permission to participate in this parish activity. I understand the parish ,and its representatives, are not responsible for any accident or injury that may occur while participating on this activity *
Parent /Guardian acknowledgement of waiver *
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