Deerfield Community Center 3 vs. 3 Basketball Tournament

Saturday, May 17, 2008 at 9:00 a.m.

Deerfield Elementary School, 340 W. Quarry (enter off Liberty St.)

Tournament Open to players in grades 4-8.

Entry fee is $60 for a four player team, two game guarantee.

All Applications are due no later than April 25, 2008. 

Make checks payable to Deerfield Community Center, PO Box 404, Deerfield, WI  53531. 

Questions call Anne at 764-5935 or e-mail at dccathletics@yahoo.com

Please check one:  Boys’ Division______Girls’ Division________Coed Division________

 

Player #1

Name_____________________

Address___________________

City______________________

State______Zip Code________

E-Mail____________________

Home Phone_______________

Cell Phone________________

Gender____Grade___________

Birthdate__________________

Signature__________________

Parent/Guardian Signature____

__________________________

 

Player #2

Name_____________________

Address___________________

City______________________

State______Zip Code________

E-Mail____________________

Home Phone_______________

Cell Phone________________

Gender____Grade___________

Birthdate__________________

Signature__________________

Parent/Guardian Signature____

__________________________

Player #3

Name_____________________

Address___________________

City______________________

State______Zip Code________

E-Mail____________________

Home Phone_______________

Cell Phone________________

Gender____Grade___________

Birthdate__________________

Signature__________________

Parent/Guardian Signature____

__________________________

Player #4

Name_____________________

Address___________________

City______________________

State______Zip Code________

E-Mail____________________

Home Phone_______________

Cell Phone________________

Gender____Grade___________

Birthdate__________________

Signature__________________

Parent/Guardian Signature____

__________________________

IMPORTANT Please read and then sign above Participation Waiver

I, the parent/guardian of the registrant, a minor, agree that the registrant and I will abide by the rules of the Deerfield

Community Center (the "DCC"), its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with youth programs (the "Programs") and in consideration for the DCC accepting the registrant for its Programs and activities, I hereby release, discharge and/or otherwise indemnify the DCC, its affiliated organizations and sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the Programs, against any claim by or on behalf of the registrant as a result of the registrant’s participation in the Programs and/or being transported to or from the same, which transportation I hereby authorize. As the parent or legal guardian of the above-named player, I hereby give consent for emergency medical care given under whatever conditions are necessary to preserve the life, limb or well being of my dependent.