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DGF Community Education Girls Basketball Registration Form
K-2nd Grade
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* Indicates required question
Player's First Name
*
Your answer
Player's Last Name
*
Your answer
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Grade
*
K
1st
2nd
Required
Age
*
5
6
7
8
Required
Site Student Attends
*
Dilworth Elementary
Glyndon-Felton Elementary
Non DGF Enrolled Student
Date of Birth (MM/DD/YYYY)
*
Your answer
Parent/Guardian Name
*
Your answer
Home Phone Number (XXX-XXX-XXXX) If Not Applicable, N/A
*
Your answer
Parent/Guardian Cell Phone Number (XXX-XXX-XXXX) If Not Applicable, N/A
*
Your answer
Mailing Address
*
Your answer
City, State, Zip
*
Your answer
Parent/Guardian Email
*
Your answer
How will you be submitting payment?
*
SchoolPay
Check/Cash
I give/do not give permission for photos or videotapes of my child to be reproduced for DGF promotional or educational purposes.
*
Yes, I give permission
No, I do not give permission
Required
WAIVER
*
I, the undersigned, parent/guardian of the above name child assume responsibility in case of accidents, injury or lost or damaged personal items during the program’s duration.
I agree
Required
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