2022 Preschool-Kindergarten Basketball-Deadline October 7

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Sundays October 23-November 20(makeup date only November 20) at Hoover Elementary.

Tentative Time 1:30pm-2:15pm(Subject to change)

1st week will be practice only.
$25 fee for participants that already have a Parks and Recreation jersey or $44 if you need to purchase a jersey.

At least 8 volunteer coaches are needed.
No referees-parents and coaches will be expected to make the calls.
Children must register for their current grade level.
Teams are limited. Players are accepted on a first come first serve basis. Must have at least 24 registered participants by the deadline in order for the league to occur.

Schedule is subject to change based on number of participants.

Payment is required before registration is considered complete.

By completing this agreement, I the participant, parent, and/or guardian under-stand that participation in this activity may result in some type of injury and protective equipment does not prevent all injuries to participants. I hereby give permission for my child, ward, or myself to participate in the below registered program and/or activity and certify that my child (or myself) is physically fit to join in the activities. I hereby waive, release, and agree not to hold the City of West Branch Parks and Recreation Department, West Branch Community School District, sponsors, supervisors, and volunteers liable for any injuries that may occur because of participation in these activities. I also give my permission for any photos/videos, etc. of these participants taken during a program to be used for future departmental promotional materials.
Please take note and govern yourself accordingly.
THE WEST BRANCH PARKS AND RECREATION DEPARTMENT AND THE CITY WEST BRANCH HAVE NO ACCIDENT INSURANCE TO PROTECT THE PARTICIPANTS

Email *

When you registration is complete you will receive a payment confirmation and a separate registration confirmation email. Please hit submit at this end of the form so your registration is recorded.

Please use this form to register for Preschool/Kindergarten grade basketball.

Child's Name *

My child is currently enrolled in: *

Preschool(must be at least 4 years old to participate)

Early Kindergarten

Kindergarten

Other:

Name of parent or guardian *

Phone Number of parent/ guardian(cell phone preferred) *

Mailing Address *

Additional parent/guardian name

Yes

Other

Clear selection

Additional parent/guardian phone number(cell phone preferred)

Additional parent/guardian email

My child needs a jersey *

Yes($45 total registration fee)

No($25 total registration fee)

We have one, but need to trade for a new one($25 total registration fee)

Other:

Payment is $25 if you already have a Park and Recreation Jersey or $45 if you need to purchase a new Park and Recreation jersey. You will get a payment confirmation, but you need to submit this form or your registration will not be recorded.

Before continuing please pay all required fees. https://www.govpaynow.com/gps/user/plc/a001l4

Payment confirmation is required. Please enter payment confirmation number or receipt number if payment was made in the West Branch City Office. *

Other comments

Volunteer coaches are needed. Please click here to volunteer. https://forms.gle/Y3uuG1mckrMPThSs5

Thank you for volunteering!

A copy of your responses will be emailed to the address you provided.

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