Registration Application for Weymouth Girls Basketball

Address:__________________________________________Zip:____________Phone#:___________________________

Email Address: _{____________________________________________________________________________________________}

ڤ Check this box if this is a new address or phone #. ***Requests Are Not Certain***

4th and 5th graders, please circle the ONE school closest to the player’s home: Academy Murphy Pingree Talbot Wessagusset

Fulton Nash Seach Union

WAIVER: I/we as parent(s) or legal guardian, fully understand that the Weymouth Girls Basketball League is in no way responsible for any and/or all injuries that may occur during practices or games, including transportation to and from those sites. I/we recognize that the activity of basketball is at times a contact sport involving a great deal of running and physical exertion. Though all efforts are made by the Weymouth Girls Basketball organization to insure the safety and well-being of my daughter, I/we realize that an injury may occur given the nature of the activity. Understanding the above I/we therefore agree to hold harmless all coaches, officers and other volunteers in the Weymouth Girls Basketball League for any injury connected with the players participation. I/we, the undersigned, give approval for my/our child to participate in the Weymouth Girls Basketball program. Signature of Parent/Guardian_________________________Date_

MAIL- IN INFO: WGB, PO BOX 18, S. WEYMOUTH, MA 02190 or email mcole9288@comcast.net

VOLUNTEERS & SPONSORS NEEDED: Coach________ Asst Coach________ Board of Directors______ Volunteer Name:____________________________ Phone:_____________

Sponsor:__________________________________________ Sponsor Fee: $175.00 Address:__________________________________________ Phone:______________________Contact:__________________________________________