___________________________________________________________________
Registration Form:
2009-2010 ST. JOHN THE BAPTIST
BASKETBALL REGISTRATION
Name: Grade: ________________
Telephone Number: ___________________________ Male/Female_____________
Mother/Guardian Name __________________________________________
Home phone #_______________________Cell #______________________
Father/Guardian Name __________________________________________
Home phone #_______________________ Cell #_____________________
Emergency Contact _____________________________________________
Home Phone # ______________________ Cell # ______________________
Registration fee of $85.00 must accompany this form
Also a separate check (refundable) for $50.00 uniform deposit required
Make checks payable to: St John the Baptist. There will be NO refunds after the teams assessment has been completed.
Volunteers are needed in the following areas:
_____Head Coach _________Assistant Coach ________Grade Level
______Male/Female Division Volunteer Name____________________________
Participating in the St. John the Baptist school sports program is both a privilege and a commitment. I will support the Para Basketball program offered at St Johns. Good sportsmanship will be displayed at all times. I realize that inappropriate behavior or unexcused absence at practices or games may result in reduced playing or suspension from one or more games.
______________________________ ________________________________
PARENT SIGNATURE PARTICIPANT SIGNATURE
REGISTRATION DEADLINE: Wednesday October 28, 2008
(Include form with 2 checks for $85.00 participation fee and the $50.00 uniform deposit).
Registration received after October 28th, will result in an additional $20.00 handling fee.
If you have any questions please contact John Miller at miller8152@comcast.net
Paid Registration fee: ck # _____ cash: _____ deposit fee: ck # ______