| Watertown Recreation Department 51 Depot Street, Suite 108 Phone (860) 945-5246 Fax (860) 945-4734 InfoLine (860) 945-5272 Web Site www.watertownct.org Youth Basketball -- 2007-08 OPEN TO ALL OAKVILLE & WATERTOWN RESIDENTS ONLY PROOF OF RESIDENCY AND BIRTH CERTIFICATE ARE REQUIRED AT TIME OF REGISTRATION!!! REGISTRATION: Located at Watertown Recreation Department STARTS ON THURSDAY, SEPTEMBER 6, 2005 from MONDAY – FRIDAY 8 AM – 5 PM There will be a FRIDAY REGISTRATION held on: Friday, September 14, 2007 from 5:30 PM - 8:00 PM FEE: Beginner Basketball (Children ages 6 & 7) $60.00 In-Town (Children ages 8 -13) $75.00 Travel (Children in grades 5, 6, 7, & 8) $90.00* Family Maximum: $165.00 Because of Town of Watertown insurance rules age group guide lines for youth basketball will be strictly enforced. NOTE: Players cannot be on Watertown Recreation In-Town and Travel Teams at the same time. Any refunds requested are subject to a processing fee of $5.00 per child. THERE ARE NO REFUNDS AFTER THE START OF THE SEASON Season starts at time of tryouts for travel team or team selections for In-Town. Travel registrations will be taken until Friday, October 19, 2007 & In-town registrations will be taken until Friday, November 2, 2007. Beginner Basketball registrations will be taken until Friday, December 7, 2007. Registrations taken after those dates are subject to availability on a first-come first-served basis and put on a waiting list. There will be a $10.00 late fee and will be accepted only if teams still have openings. All children trying out for Travel Team MUST register for Travel Team prior to the deadline above. No "In-Town" Registrants will be allowed to try out for travel. If they don't make the Travel Team and are 14yrs old and in 8th grade they will be allowed to play "In-Town". Anyone who is not registered and paid in full by the deadline above will not be allowed to tryout for the Travel Team. There will be no exceptions to this rule! Child's Name: ________________________________________________________ Date of Birth: ______________________ (last) (first) (MI) Street Address: ____________________________________________ Zip Code: ____________________________________ Phone: _____________________________________ Emergency Phone: __________________________________ Sex: M / F Grade: _________ School: __________________ Allergies/Special Needs:___________________________________________ Shirt Size (circle): Youth Small / Youth Medium / Youth Large Adult Small / Adult Medium / Adult Large Please call the Watertown Recreation Department at (860) 945-5246 if you are interested in coaching either In-Town or Travel Team. Name: _____________________________________________Phone Number: ___________________________________________________ Parent's Permission and Acknowledgement You are required to read the following information very carefully and make sure that you understand it fully and sign it before participating in this program. I am fully aware that the activity and program I am choosing to participate in may result in risk of injury or harm. On my own behalf, and on behalf of my own personal representatives and heirs, successors and assigns, I hereby release, indemnify and save harmless the Town of Watertown, its officers, employees, designees, consultants, agents and directors (hereinafter representatives) from all claims and liability of whatever nature arising from any act, omission or negligence or otherwise of the Town of Watertown or its representatives, including any injury to any person or any property of any person. This indemnification and hold harmless agreement shall include indemnity against all costs (including without limitation, reasonable attorney’s fees and court costs), expenses and liabilities incurred in, or in connection with, any such claim or proceeding brought thereon and in defense thereof. I have read and understand this release, indemnification and hold harmless form. I voluntarily sign it and hereby give permission for the Town of Watertown staff to administer basic first aid and or seek appropriate medical assistance for the participant listed below. Signature: ________________________________________________ Date: __________________________________________ FOR OFFICE USE ONLY Res._____________ B.C ______________ Amt Paid ______________ Receipt ______________ Check ______________ Rec'd By: ______________ |