Haverford Township Bailey Park Girls Basketball League 2011 Application

"Haverford Township Bailey Park Girls Basketball League

www.baileyparkbasketball.net

NAME: _________________________

PHONE # _____________________ 

EMAIL: _________________________

ADDRESS: _______________________

SCHOOL:_________________________

HEIGHT:_________

WEIGHT: ____________

POSITION: _______________ 

**It is the responsibility of each player to maintain medical insurance coverage in case of injury.

Parents waive and hold harmless Haverford Township/Haverford Township Basketball League for Girls for any damages resulting in injury that may occur during any League sanctioned game or related activity.** 

Please circle one: $60.00 per player

Kindergarten and 1st Grade,

2nd and 3rd Grade

4th and 5th Grade

6th and 7th Grade 

_____YES, I would like to coach and or sponsor a team. 

_____YES, I would be willing to keep the clock or scorebook during a game. 

Applications are accepted on a first come basis.

The league will run from mid-April to mid-June.

Please have registration in by March 31.

Any questions please contact Maria Pardini @
maria.pardini@gmail.com or 484.450.6713 

Player's Signature
Parent's Signature

Visit our Web site to register and pay by credit card
www.baileyparkbasketball.net

Mail application with check made out to:
Bailey Park Basketball
P.O BOX 710
Havertown, PA 19083"