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Player's Name *
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Birthdate *
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Player will be playing in: *
The 5-6 coed will not travel.
The 7-8-9 girls might travel.
The 10-11-12 girls might travel.
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Please list any medical condition the coach would need to be aware of.
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PLAYER'S SHIRT SIZE *
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Parent/Guardian Name *
Be advised, all DPR sports are considered "contact sports" At some point, whether it be a practice or a game, players may experience physical contact from his/her coach or other players. This contact may take place as a coach teaches a skill that requires hands-on instruction, players are running drills against each other or it may simply be an act of praise. However, we do not tolerate aggressive physical behavior from our coaches.
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Phone *
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Additional Phone
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Address *
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I am interested in: *
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Parent Shirts ($15 YS-AXL, $17 A2XL-A3XL) *
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Payment Option *
All registration forms and payment must be received by the deadline.
Online Payments are processed through PayPal. When registration form is submitted you will be redirected to a Thank You page so that you can add the registration fee to your Cart.
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We, as parents/guardians of the above named child give our permission to his/her participation in this year's program. We assume all risks and hazards incidental to such participation in this program. We understand we are responsible for our child's transportation to games and practices and for the return of any uniform or borrowed equipment in our possession at the end of the season. Signing below gives Department of Parks and Recreation and its assigns, both during and anytime after, to use their likeness, name, voice, or words in either television, radio, film, newspaper, magazines, social media, and other media, and in any form, for the purpose of advertising or communication the purpose and activities of the Department of Parks and Recreation.
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