Guardians Registration 2020-2021

Student Information
Students must meet the minimum age requirement to play. Athletes must attain age ten before 9/1/2020.
Student's Name *

First Name Last Name
Student's Date of Birth *

Month Day Year
Student's Age *
As of September 1, 2020
How many years has this student been homeschooling? *
Has this student been asked to leave any school or homeschool program due to disciplinary/behavior issues? Please note: While checking "yes" here will not necessarily exclude your child from the program, checking "no" falsely could be grounds for immediate dismissal from the team without refund. *

Yes No
If so, please explain:
Please select which sport this child is registering for: *

Girls' basketball Boys' basketball
Please select which level this child will qualify to play based on age. (The coach will have the final decision regarding team selection for your child.) *

U12 (students who have NOT attained their 13th birthday before September 1, 2020) $125 JV/Varsity (students who HAVE turned age 13 on or after September 1, 2020, but who have NOT attained their 19th birthday before September 1) $175
Do you have other students to register? *

Yes No

Student Two Information
Student's Name

First Name Last Name
Student's Date of Birth

Month Day Year
Student's Age
As of September 1, 2020
How many years has this student been homeschooling?
Has this student been asked to leave any school or homeschool program due to disciplinary/behavior issues? Please note: While checking "yes" here will not necessarily exclude your child from the program, checking "no" falsely could be grounds for immediate dismissal from the team without refund.

Yes No
If so, please explain:
Please select which sport this child is registering for:

Girls' basketball Boys' basketball
Please select which level this child will qualify to play based on age. (The coach will have the final decision regarding team selection for your child.)

U12 (students who have NOT attained their 13th birthday before September 1, 2020) JV/Varsity (students who HAVE turned age 13 on or after September 1, 2020, but who have NOT attained their 19th birthday before September 1)
Do you have other students to register?

Yes No

Student Three Information
Student's Name

First Name Last Name
Student's Date of Birth

Month Day Year
Student's Age
As of September 1, 2020
How many years has this student been homeschooling?
Has this student been asked to leave any school or homeschool program due to disciplinary/behavior issues? Please note: While checking "yes" here will not necessarily exclude your child from the program, checking "no" falsely could be grounds for immediate dismissal from the team without refund.

Yes No
If so, please explain:
Please select which sport this child is registering for:

Girls' basketball Boys' basketball
Please select which level this child will qualify to play based on age. The coach will make the final decision regarding team selection for your child.

U12 (students who have NOT attained their 13th birthday before September 1, 2020) JV/Varsity (students who HAVE turned age 13 on or after September 1, 2020, but who have NOT attained their 19th birthday before September 1)

Media Release: I grant/deny permission to Wellspring Homeschool Community to use the image(s) of my child(ren) as marked by my selection below. Such use includes the display, distribution, publication, transmission, or other use of photographs, images, and/or video taken of my child(ren) for use in materials that include, but may not be limited to printed materials such as yearbooks and newsletters, videos, and digital images such as those on the Wellspring Homeschool Community website and in slide show presentations. I understand that my child's name will not be used in conjunction with any video or digital image. *

Grant permission to use my child's image Deny permission to use my child's image

Athletic Registration Payment
Total Number of students you are registering *
If you'd like to provide additional assistance to help with team expenses, please input the amount below.
Voluntary Donation Amount (no dollar sign)
Ex: 20
Registration fees
Gym/Equipment Fees
Family Pass
This pass allows entry to all Guardians home games for immediate family members.
TOTAL AMOUNT DUE
While our registration fee is "non-refundable" under ordinary circumstances, should the coronavirus prohibit our ability to play games entirely or for a substantial portion of the season, we will revisit this policy.

Any potential refunds will be partial refunds due to the expenses that must be paid out regardless of outcomes (uniforms, insurance, etc). In this scenario, the Guardians Board will determine the proper refund and reimburse families accordingly.

________________________________________

If you are experiencing financial difficulties and are unable to make your payment in full, please contact the Athletic Director, Eric Rossi, at ebrossi@valvoline.com to discuss a possible payment plan option.

If you intend to make other payment arrangements, complete this registration form by hitting the "submit/pay now" button below, however, close your browser before making payment.

Thank you
TOTAL AMOUNT DUE

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Wellspring Guardians Basketball Registration