Summer GIRLS Basketball League 5/6 Instructional League (Saturdays ONLY) 7/8 year old Division 9-11 year old Division 12-14 year old Division Player Assessment Clinic Season Games Saturdays-June 13th, 2015—August 1st, 2015 Season concludes on August 1st, 2015 Practices Start week of May 25th (TBD by coach) May 23rd, 2015 5/6 INSTRUCTIONAL League (No skills assessment) Ages 7-8 at 10:00 am Ages 9-11 at 11:15 pm Ages 12-14 at 12:15 pm Registration through May 23rd $65.00 $10 discount if you already have a uniform We Need Coaches! Register Online www.bgctracy.org For questions, please contact Michael Diaz (209) 832-2582 x112 or [email protected] -----------------------------------------------------------------------------------------If you are interested in coaching: Name__________________________________ Jersey size (Circle One) Youth: S M L Adult: Name (Child)_________________________________ Contact Number________________________ S M L XL XXL Age______ All uniforms sizes are final!! Grade_______________ School______________________________________________ Email______________________________________________ Parent/Guardian Name______________________________________ Phone Number__________________________________ Address_________________________________________________________________________________________________ I hereby agree to hold The Boys & Girls Club of Tracy and the Tracy School District free and harmless from any claim for injury to my son/daughter during the Boys & Girls Club of Tracy “Basketball”. I hereby authorize Club personnel and or licensed physician or paramedic to administer medical treatment him/her on the club premises. I give permission for my child to be photographed, videotaped and/or interviewed for the use of Boys & Girls Clubs of America and/or Boys & Girls Clubs of Tracy and their sponsors in promotional materials including internet/website. I consent to such uses and hereby waive any rights of compensation. Parent Signature___________________________________________________ Date___________________________ —————————————————————STAFF USE ONLY——————————————————————— Total Payment Amount Rcvd:______________ (Check one) ___ Cash ___ Check ___ Check #_______ CC __ Date received_______________ Staff Signature________________________________________________ 2015 Summer GIRLS Basketball League