2008 St. Francis Summer Classic Registration Form

Fees: Grammar School $60.00
High School $75.00
Non Parish Players add $5.00.
Late Registration add $25.00
 mail completed form to: Summer Classic
PO Box 940703
Rockaway Park, NY 11694
Name: (last) ________________ (first) _________________ Age:_____ D.O.B. _______
Address:_________________________________________ Tel # _______________________
_____________________________________ Height ______ Weight ______ lbs.
School _____________________________________ '07-08 Grade : _______
Check One: Parish Family ___ Non-Parish Family ____ Male___ Female ____
Emergency Contact Name: ______________________________________________
Relationship: ____________________________ Tel # ________________







 


To help us properly balance the teams, please share with us your child's relevant basketball experience (i.e. HS Varsity, JV, Frosh, AAU, CYO, starter, MVP awards, excels at rebounding, etc.) _________________________________________________________________________________
2007 Summer Classic Team:__________________________________________________________

Do you have Medical Insurance? _____ Insurance Company/Carrier ___________________
CONSENT: In consideration of my child's participation in the SFDS Summer Classic, I, the under-signed, certify that the information on this form is correct, and I waive all claims for damages I may have against SFDS, its league commissioner, coaches, and other staff, for any injuries suffered by me or my child(ren). I attest that my child(ren) is/are physically fit for participation in SFDS Summer Classic. I have read and understand the Summer Classic rules and regulations and agree to abide by them. I promise to participate as a player, coach, or fan in accordance with these rules and the principles of good sportsmanship.

Parent / Guardian Signature __________________ Date: ____________

Official Use Only
Division: ___________ Amount Paid $_________ Check #______
Accepted by:________ comments: