Player Name ______________________________ Boy ____Girl_____ Height______ Weight_____ Address__________________________________City________________State_____Zip_________ Player's Home Phone:_____________________BCWB Team Last Year___________________ Birthdate________ Age ____ Current Grade______#Years Played in this League________ School Attending_______________________ Medical Problems?________________________ Parent/Guardian Name________________________________________ Work #________________ Parent / Guardian Address_____________________  T-Shirt Size   XS    S    M    L    XL    XXL Phone __________________  Email___________________________________________________   How did you hear about us ____________________________(Radio,Gazette,Fred Post, Friend, TV)

Name of Volunteer:_______________________________________________________ Phone#_______________
Email address _________________________________________________________________________________
Please check those that interest you:
Head Coach:       Junior Division ____   Senior Division ____ Assistant Coach:  Junior Division ___   Senior Division __
Concession:  Assist with sale of  food and beverages. ___     Team Parent:  Provides updates to Head Coach ______
Registration Assistance: Help the league with Email, walk up and Phone Registrations______
Scorekeeper / Timekeeper:  Keeps the books or run the clock at the games._________
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   Totals -  Late Reg. = $75.00

 Late Registration:        $45/per player + $5.00 Late Fee + $25 Fundraiser Buyout Fee              Ends May 25, 2008

* Registration includes a $25.00 Fundraiser Buyout Fee. Fundraiser Buyout Fee is refundable to all players whom elect to participate in the Fundraiser.  $25.00 refund based on the minimum sale of 10 Fundraiser units.  

 

I would like to participate in the Fundraiser and receive a $25 refund.  Please send me a Donation Form ______

I would like to "Opt-Out" the Fundraiser, please keep my $25 as a donation ____________   

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1) Fill out form completely and legibly.   
2) Parent/Guardian must sign Medical Release,  Code of Conduct and Parent/Guardian player permission.         
No refunds after May 31, 2008.  Mail Registration, Checks, or Money order  to:  BCWB,   P. O. Box 3528, Frederick, Md. 21705-3528.   This is an outdoors league with games held on Saturday mid-morning / afternoons.

Medical Release, Agreement to Abide by the Code of Conduct and Parent/Guardian player permission :
I certify that my child is in good physical condition and is fit to participate in Basketball Coaches Without Boundaries Youth Summer League Basketball;  I have read and understand the BCWB YSL Code of Conduct for players and spectators:   I agree, abide by, and promote the regulations and principles outlined in the Code.  Additionally,    I understand that my participation in Basketball Coaches Without Boundaries activities involves risks and dangers of serious and permanent bodily injury.  I, or my parent/guardian, if I am a minor, hereby release, hold harmless, discharge and agree not to sue Basketball Coaches Without Boundaries, its Directors, Officers, Employees, Coaches, Officials, Volunteers, Agents, Sponsors, Advertisers, Owners/Lessors of Premises for any and all liability from my participation in these and any other Basketball Coaches Without Boundaries related travel, lodging, social/recreational activities. 
Date: ____________ Parent/Guardian Signature  _________________________