Winning Edge Fall Registration Form 2009 www.winningedgebasketball.com
Players Name:___________________________________________ Gender ____M
____F
Parents Name:_____________________________________________________________
Address_____________________________City:___________________Zip:____________
Home #______________________Cell#___________________Wk.#_________________
Email:____________________________________________________________________
DOB:______________Age:______Grade:________
School:_________________________
Emergency Contact: Name_____________________________Phone:__________________
Any health concerns:_________________________________________________________
I hereby authorize the staff of WEB to act according to their
judgment in any emergency requiring medical
attention.
I hereby wave and release the program from any and all
liability for any injury or illness incurred
at the program.
As a participant or guardian of a participant in the program, I recognize and
acknowledge that there are
certain risks
of physical injury and assume the full risk of any injuries,
including death, damages or loss
which I or above
participant may sustain as a result in any activities connected
with such programs.
I agree to waive and relinquish all claims I or above participant may have as a
result of participating in the
program
against Winning Edge Sports, Inc.
I have read and fully understand and I accept the program details, policies,
procedures and waiver and
release all claims.
Parent or Guardian Signature:______________________________________________________
(must sign to participate)
| Boys/Girls Fall Skills 3-5th Grade 6 -7:30pm Mon & Thurs Sept 14, 17, 21, 24, 28 Oct 1, 5, 8, 12, 15, 19, 22 |
|
________ $195 |
Boys Travel Team League Play & Tourneys (4 & 6th Grade) 11/8 - 3/14/2010 (NSL) Practices 2x/weekly |
|
________$525. |
|
|
|
|
| Boys Fremd Feeder Tryouts Oct 20 & 21 @Palatine Community Center 5 & 6th grade 6-7:30pm 7 & 8 grade 7:30-9pm |
|
_________$20. |
|
Boys Fall High School League 9th-11th grade Sundays 9/13 - 11/1 Guerin Prep School |
|
________ $175. |
| Girls 7/8th Grade Fall Skills Training &
Tourney Play
9/12-13 thru 11/15 |
|
________ $275 |
Mail form and payment to:
Dale Monaghan
305 College Crossing
Rolling Meadows IL 60008