Juniata Valley YMCA Winter Basketball League 2008-09

Team Name: ____________________________________________________

Division:     3-4th Grade Girls

                      5-6th Grade Girls

                      7-9th Grade Girls

Captain / Contact Person: ___________________________________________

Address: ______________________________________________________

Email Address: __________________________________________________

                            ( I do use this, so make sure you check it!)

Phone: (D)________________ (E) ________________ (c)________________

Scheduling Requests: _____________________________________________

                                            (I will try whenever possible to honor these)

Juniata Valley YMCA Competitive Basketball League 2008-09

I, the undersigned manager hereby make application for entrance in the 2008-09 Juniata Valley YMCA competitive league. I agree to be responsible for the conduct of the players on my team both on and off of the court while in the Juniata Valley YMCA or on YMCA property. We understand that we are expected to behave in a manner appropriate to the YMCA. Failure to behave appropriately can result in suspension or expulsion without refund. In consideration of my entry, we do hereby waive responsibility by the YMCA in case of injury or death for ourselves, our heirs, executors or assigns.

Signed: ___________________________________ Date: _______________

Print Name: ________________________________