2024 SUMMER LEAGUE REGISTRATION FORM AND PERMISSION INCOMING 9th-12th

CHESTERTON PLAYER REGISTRATION FOR THE DUNELAND SUMMER BASKETBALL TEAM LEAGUE 2024

FOR GIRLS GOING INTO 9TH THROUGH 12TH GRADES FROM CHESTERTON HIGH SCHOOL.
SUMMER LEAGUE INFORMATION

WHEN: June Game time ranges from 5pm to 8pm. We will usually play 2 games per night. Due to the new IHSAA restrictions on the amount of nights high school teams play, we will playing all games in our league one night a week only with multiple games being played that night so that we have more school teams to play.

Thursday, June 6th

Monday, June 10th

Monday June 17th

Monday, June 24th

WHO: Girls who will attend Chesterton High School next summer.

LOCATION OF GAMES:  Chesterton High School Gyms & The Boys and Girls Club if 8 courts are needed.

COST: The cost to play in the league is $100.00.

PRACTICE/OPEN GYM: Players registering for the league will also need to attend Open Gyms regularly in June so that they know the offenses and defenses we are running.

GAME TIMES: The game times range between 5:00pm and 8:00pm depending on the childs age level.

LEVELS: There are three levels of play: Junior League: For middle school players, Senior League: For Freshman-JV Level of players, and Open League: For Varsity Level Players.

COACHES:  Will be provided by the Chesterton Girls Program.

UNIFORMS FOR GAMES:  School reversible will be worn and provided.

TRANSPORTATION TO AND FROM GAMES: Parents will need to provide transportation to and from games for their child.

SCHEDULES: Schedules will be posted weekly on our team app and on chestertongirlsbasketball.org site.

TEAM APP: Directions for how to join our Chesterton Girls Basketball Team App are provided on this link: https://www.chestertongirlsbasketball.org/webinar-registration
ONLINE PLAYER REGISTRATION
Player Information
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone Number*

Area CodePhone Number
Grade for the 2024-25 scholl year*

9th10th11th12th
Guardian and Insurance Information
Parent/Guardian*

First NameLast Name
E-Mail*
example@example.com
Home Phone*

Area CodePhone Number
Cell Phone*

Area CodePhone Number
Insurance Carrier*

CompanyPolicy Number
Policy Holders Name*

First NameLast Name
Emergency Contact Information
Emergency Contact*

First NameLast Name
Relationship to Player*
Cell Phone*

Area CodePhone Number
Permission to Treat
As the legal parent or guardian, in the event of illness or accident, I give consent for Chesterton Girls Basketball LLC, tand members of the Chesterton High School Girls Basketball Coaching Staff to secure any and all necessary emergency medical care for my child. The undersigned gives permission to Chesterton Girls Basketball, its owners and operators and members of the Chesterton High School Girls Basketball Coaching staff to seek medical treatment for the participant in the event they are not able to reach a parent or guardian.*

We Authorize
Permission to Attend and Participate
I do hereby waive, release and discharge Chesterton Girls Basketball LLC, and the Chesterton High School Girls Basketball Program, and the respective staffs, employees, successors, and assigns, of and from any and all rights claims for damage resulting from injury of person or property of my child, which may be sustained or suffered by connection with, association with or participation in, or arising out of traveling to or from the Chesterton Summer League. I, the parent/guardian, agree to the above waiver and release, and I join therein. I understand that there is a risk of injury associated with participating in athletics*

We Authorize
I have read and agree to the above conditions for Signature Text(s):*

YES
GUARDIAN SIGNATURE

Clear
(NOT THE LAST STEP, RETURN HERE TO COMPLETE PAYMENT AND SUBMIT REGISTRATION)

Chesterton Summer League Liability & Athetic Training Accessibilty Waiver

CLICK HERE TO COMPLETE

*REQUIRED*

Must be completed by parent before June 1st in order for your daughter(s) to compete in the 1st Game.

RETURN HERE TO COMPLETE FINAL STEP
Once you have completed this form, please click on the submit button below. It will automatically reroute you to PayPal to complete your payment. If you do not have a PayPal Account you can check-out using their site as a guest using your credit or debit card.
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SUMMER LEAGUE PAYMENT, PER PLAYER$100.00

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CHESTERTON PLAYER REGISTRATION FOR THE DUNELAND SUMMER BASKETBALL TEAM LEAGUE 2024

Player Information

Guardian and Insurance Information

Emergency Contact Information

Permission to Treat

Permission to Attend and Participate

Once you have completed this form, please click on the submit button below. It will automatically reroute you to PayPal to complete your payment. If you do not have a PayPal Account you can check-out using their site as a guest using your credit or debit card.