QM Girls Basketball for Incoming 4th, 5th, 6th, 7th and 8th grades-due Friday, May 13, 2022
IMPORTANT INFORMATION:
Please complete if you are interested in playing basketball this fall.  We must have your registration in order to determine rosters.  Tryouts may be required depending on how many girls sign up.
All leagues start the third week in August and run through the end of October.
Fees are $125 per player.  Uniforms are $45.  2022-2023 yearly Athletic Family fee is $50 for QM students, $100 for REP students.  
Fees can be Venmo'd to @QM-Athletics or you can send a check through school c/o Girls Basketball.
Please contact Bill Manning 312-203-4131 with any questions.  
All players are required to have sports physical completed and on file with the school office before the season begins.  
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Email *
Student Name ([please fill out one form for each child)
DOB
Parent(s) Name
Address
Phone Number
email
QM Student
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Grade for the 2022/2023 school year
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Does your child have a uniform from last year?
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What number was your child last year?
If your child needs a uniform, they are $45.  These can be used for future seasons so please size them with an eye to the future.  What jersey size?
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Shorts size?
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If ordering a new uniform, what number would your child like?  We will do our best to accommodate requests but cannot guarantee a specific number.  Please pick two.
Are you interested in coaching?  If so, what grade?
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League fees are $125 and if needed, uniforms are $45.  How will you be paying?
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All Families participating in Queen of Martyrs Athletics are required to pay an Athletic Fee of $50.00 per family annually. All REP families are required to pay an Athletic Fee of $100 per family annually.
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Important Information: The Catholic Bishop of Chicago (the CBC) and Queen of Martyrs Parish (the Parish) are committed to conducting athletic programs and activities in the safest manner possible and holds the safety of participants in the highest possible regard. Participants and parents registering their child in athletic programs must recognize however that there is an inherent risk of injury when choosing to participate in athletic activities. The CBC and the Parish insist participants follow safety rules and instruction, which have been designed to protect your safety. Please recognize that the CBC and the parish do not carry medical accident insurance for injuries sustained in its programs. The cost would make fees prohibitive. Therefore, each person registering themselves or a family member for a recreation program/activity should review their own health insurance policy for coverage. It must be noted that the absence of health insurance coverage does not make the CBC or the Parish automatically responsible for the payment of medical expenses. Due to the difficulty and high cost of obtaining medical accident insurance, the CBC and the Parish requires the execution of the following Waiver and Release. Your cooperation is greatly appreciated. Waiver and Release of All Claims Please read this form carefully and be aware in registering your minor child/ward for participation in this program you will be waiving and releasing all claims for injuries you and your child/ward might sustain arising out of this program: FOOTBALL CHEERLEADING VOLLEYBALL BASKETBALL SOCCER GOLF. As the participant in the program, I recognize and acknowledge there are certain risks of physical injury and I agree to assume the full risk of any injuries, including death, damages, or loss which I or my minor child/ward may sustain as a result of participating in any and all activities connected with or associated with such programming the event of any emergency, I authorize the CBC or parish officials to secure from any licensed physician, and/or medical personnel any treatment deemed necessary for the immediate care and agree I will be responsible for payment of any medical service rendered. I have read and fully understand the above details. I hereby Waive and Release All Claims and give permission to secure treatment. Do you agree?
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