2013 SRA 2013 BASKETBALL REGISTRATION Application Fee is $60 CHILDS NAME:____________________________________________ Parent/ Guardian Name: _____________________________________ CHILDS AGE:________________ BIRTHDATE:_________________ ADDRESS:________________________________________________ PHONE# ___________________ CELL# ______________________ TEXT MESSAGES: YES or NO EMAIL:__________________________________________________ TEAM PLAYED on LAST YEAR: _______________________________ Parent/Guardian Interested in Coaching: YES or NO This is a not for profit program sponsored by the Sneads Recreation Association (SRA). Signature by parent/guardian below releases the SRA, sponsors and coaches from liability in case of accident and/or injury. Signature:_____________________________ Print Name:___________________ Amount paid :__$__________ CHECK or MONEYORDER (No Cash) Received by:_______________________ Comments: _________________________________________________________ SNEADS RECREATION ASSOCIATION PO Box 295, Sneads, FL 32460 Ron Ranew- 272.2432, Tim Arnold- 272.4143, Donovan Weeks- 272.3828, Connie Butts or Danielle Dickens- 593.6636
Posted on: Fri, 15 Nov 2013 17:29:04 +0000
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