WCCSBGC Rec League Registration Form

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Player's Name* This field is required.
First Name
Last Name
2
Choose the gender of the player:* This field is required.Select option below.
Male
Female
3
What is the player's age?* This field is required.Select the age of the player.
4 years old or younger
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
13 years old
14 years old
4
What is the player's grade?* This field is required.Select the grade of the player for the current school year (2021-2022).
1st grade/kindergarten/pre-school
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
5
Player's Birthdate* This field is required.
Date
Year
Month
Day
6
Parent/Guardian Information* This field is required.Please complete your contact information below.
First and Last name
Cell Phone Number
7
E-mail Address* This field is required.
8
Player's uniform size?Please indicate your child's jersey size by selecting from the drop down menu below:
Youth X-Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
9
Medical Conditions (If Applicable):Please list below any medical conditions and/or allergies that you think we should know about (or click "Next" to skip to the next question):
10
How did you hear about this Rec League?Select an option below or click "Next" to skip to the next question.
Google/Search Engine
A Friend or Colleague
Social Media/Facebook/Instagram/Twitter
Other
11
Comments/Notes:Enter any additional comments or notes below.
Huge
Large
Normal
Small
Ok
Ok
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AGREEMENT/WAIVER* This field is required.SCROLL ALL THE WAY DOWN TO ACCEPT THE AGREEMENT/WAIVER. I hereby waive, release and discharge any and all claims for damages for the personal injury, death, or property damage which I may have, or which hereafter accrue to me or my child, as a result of participation in basketball practices and/or basketball competitions in all its forms. The release is intended to discharge in advance, the organizations (West Contra Costa Salesian Boys & Girls Club & BAS), it’s coaches or volunteers from any and all liability arising out of or in any way connected with my participation in said activity. Its understood that the activity involves an element of risk and danger of accidents and knowing those risks, I assume those risks. It is further agreed that this waiver, release, and assumption of risk, is to be binding on my heirs and assigns. I agree to indemnify and to hold West Contra Costa Salesian Boys & Girls Club & BAS, all persons and entities associated with (West Contra Costa Salesian Boys & Girls Club & BAS), free and harmless from any loss, liability, damage, cost or expense, in which they may incur as a result of death, injury or property of damage that I may sustain while participating. I also give West Contra Costa Salesian Boys & Girls Club & BAS, it’s coaches or volunteers the right to copyright and/or publish, reproduce, or otherwise use my child’s name, voice, and likeness and/or photographs, and audiovisual recordings that include my child for instruction, advertising, program website, publications or brochures, or any other lawful purpose whatsoever. I hereby agree to relinquish all rights, title and interest I may have in the finished product and waive all rights to any compensation thereof. I hereby consent that my child may participate in the above activity, and hereby execute the above agreement, release and waiver on his behalf. I state that said minor is physically able to participate in said activity. I hereby agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss, liability, damage, cost, or expense, which may arise or may be incurred as a result of death, injury, or property damage that said minor may sustain while participating in said activity. I further expressly acknowledges that the foregoing agreement, waiver, and release form is intended to be as broad as is permitted by the laws of the State of California and that if any portion thereof is held invalid, it is agreed that the balance notwithstanding, continue in full legal force and effect. Undersigned agrees that no oral representations, statements or inducements apart from the foregoing written agreement have been made. I HAVE READ THE FOREGOING RELEASE, I FULLY UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT.
I/We agree with the above.
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Signature Required* This field is required.By signing below you agree to the previous waiver agreements
ClearWrite your signature above
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PLAYER REGISTRATION FEE

Current Boys Club Member - $100

Non-Boys Club Members - $175 (includes a year long membership to the Boys & Girls Club and the opportunity to join other Boys & Girls Club activities)

Registration fee also includes a reversible jersey & 5 games minimum for the league

*** REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS MADE ***

If you are interested in coaching please contact us at admin@BAStournaments.com
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Registration Type:* This field is required.REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS RECEIVED.
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ORDER SUMMARY
Processing FeeUSD
SubtotalUSD
Total costUSD
Current Boys Club Member - New Player
$100.00+Edit
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Non-Boys Club Member - New Player
$175.00+Edit
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Total cost $0.00
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Thank you for registering for the WCCSBGC Rec League!

Once you hit the submit button you will be redirected to the WCCSBGC membership form, which must also be completed. If you are current member of the Boys Club, please disregard the additonal form. The Boys Club Membership Form must also be completed in order to join the league.
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