INDIANA WESLEYAN ONE DAY SHOOT-OUT REGISTRATION AND PERMISSION

There will be no charge for high school girls to attend this event. Fundraising monies will be used to pay for the entry fees. Players will need to bring money to eat.

Please complete the entire form below for registration
INDIANA WESLEYAN ONE DAY SHOOT-OUT FOR INCOMING FRESHMAN-VARSITY LEVELS

Please complete the entire form below for registration
OVERVIEW OF THE TRIP

This is an exciting event to tip off our summer basketball program. It's an opportunity to bond as a program, compete against great competition from throughout the state.

We will traveling to Marian, Indiana where we will play 3 games.

School Transportation is provided.

NOTE: Events in the summer require players to be fluid and familiar with our offenses and defenses. This event will involve competitive play. Players registering need to be attending open gyms regularly and participating in our Chesterton Summer League teams to attend this event. We understand that there may be occational absences and players need to be communicating with the coaching staff prior to this via TeamApp.

FRIDAY, JUNE 5TH

LEAVE TIME: TBA, EARLY IN THE MORNING

GAMES: Played at Gyms on/or near the Indiana Wesleyan Campus

MEALS: Players should bring money to eat a fast food lunch and dinner.

OTHER:

• If your child has a specific medical condition that I need to be aware of, please include a note with specific instructions about the condition and any medications it may involve.

• If you need to contact me at any time. I will have my cell phone with me, 219-771-6053.

WHAT TO BRING WITH YOU:
- Black Practice Reversible. Returning High School girls also need to wear black practice shorts.
- Water bottle with players name on it.
- Shoes and game gear.
- Money for lunch and dinner.
COST: No charge to players. Players need to participate in the Pancake Breakfast Fundraiser as well.

*REGISTRATION WILL BE OPEN UNTIL TEAMS ARE FILLED.

Player Registration
Student Name

First NameLast Name
Birth Date

MonthDayYear
Players' Current School
Players' Grade for the 2026-27 School Year (Next School Year)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Player Cell Phone Number Player
Format: (000) 000-0000.
Parent Cell Phone Number Player
Format: (000) 000-0000.

Parent/Guardian and Insurance Information
Parent/Guardian

First NameLast Name
E-Mail
example@example.com
Home Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Insurance Carrier

CompanyPolicy Number

Emergency Contact Information Other Than Parent or Guardian Listed Above
Name

First NameLast Name
Home Phone
Format: (000) 000-0000.
Cell Phone

Area CodePhone Number
Relationship to Player
Email address
Emergency Permission to Treat
As the legal parent or guardian, in the event of illness or accident, I give consent for the Chesterton Girls Basketball LLC, Trojan Girls Basketball Club Inc, Trojan Basketball Club, LLC. members of the Chesterton Girls Basketball Program Coaching Staff to secure any and all necessary emergency medical care for my child. The undersigned gives permission to Chesterton Girls Basketball Program, its owners and operators and members of the Chesterton High School Basketball Coaching staff to seek medical treatment for the participant in the event they are not able to reach a parent or guardian.
Tournament Play Agreement and Player Behavior Clause
I understand that these tournaments will involve a high level of competition that some players may struggle with at times. Playing time will depend on players abilities to handle this level of competition. Therefore, all players may not receive the same amount of playing time. I also understand participation in out of season events such as this, does not guarantee placement of the player on any team or a particular team when school based teams are formed during the regular season. I also understand that basketball is a contact sport and injury can occur from particpating in games and practices.
I understand players attending these events represent the Chesterton Basketball Program and the Duneland School Corporation. I further understand that my daughter will be held to the standards of the school hand-book policy content. Girls attending who have disciplinary issues to and from the events, and/or show disrespect towards the coaching and/or event staff or towards others, will be asked to go home. Parents will be responsible for driving to pick-up their daughter if such a situation occurs.
Field Trip Permission to Attend and Participate
I give permission for my child to participate and attend the field trip to the Indiana Wesleyan One Day Shoot-Out on Friday, June 5th, 2026. I do hereby waive, release and discharge the respective Chesterton High School Coaching Staff, Trojan Girls Basketball Club Inc, Trojan Basketball Club LLC, employees, successors, and assigns, of and from any and all rights claims for damage resulting from injury of person or property, which may be sustained or suffered by connection with, association with or participation in, or arising out of traveling to or from the events from Friday, June 5th, 2026. I, the parent/guardian, agree to the above waiver and release, and I join therein.
GUARDIAN SIGNATURE
I have read and agree to the above conditions for Signature Text:
Should be Empty:

There will be no charge for high school girls to attend this event. Fundraising monies will be used to pay for the entry fees. Players will need to bring money to eat.

INDIANA WESLEYAN ONE DAY SHOOT-OUT FOR INCOMING FRESHMAN-VARSITY LEVELS

Player Registration

Parent/Guardian and Insurance Information

Emergency Contact Information Other Than Parent or Guardian Listed Above

Emergency Permission to Treat

Tournament Play Agreement and Player Behavior Clause

Field Trip Permission to Attend and Participate