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Lil Skins Registration 2019-2020
PLEASE FILL OUT A SEPARATE FORM FOR EACH CHILD YOU NEED TO REGISTER.
FIRST CLINIC WILL BE SATURDAY NOVEMBER 23RD:
PREK, K AND 1ST : 8:30-9:30AM
2ND AND 3RD: 10-11:15AM
4TH AND 5TH: 11:15-12:30
Coach Burch and Coach Cox are excited to see everyone on the 23rd and get started!
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LIABILITY WAIVER AND PAYMENT
LIABILITY WAIVER: When you check your player in on the 23rd, you will need to sign the liability waiver and pay your registration fee.
COST: $25 - due on Nov. 23rd Clinic
MAKE CHECKS TO: Rush Springs Basketball
STUDENT NAME:
*
Your answer
GRADE
*
PREK
KINDERGARTEN
1ST
2ND
3RD
4TH
5TH
Required
TSHIRT SIZE
*
YXS
YS
YM
YL
YXL
AS
AM
AL
AXL
Required
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Are you, the parent/guardian interested in coaching a team?
*
Yes!
No
EMERGENCY CONTACT NAME - in case the listed parent/guardian cannot be reached
*
Your answer
EMERGENCY CONTACT Phone Number
*
Your answer
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