Davenport Wildcats Youth Sports Program
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Cat Pack
North BOYS Basketball Association
September 12th & 13th at North High School
Saturday September 12th
2nd, 3rd, 4th, 5th 4:30pm – 5:45pm
6th, 7th, 8th, 6:30 pm – 7:45 pm
Sunday September 13th
2nd, 3rd, 4th, 5th 4:30pm – 5:45 pm
6th, 7th, 8th, 6:30 pm- 7:45pm
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Indicates required field
Athletes Name
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First
Last
Grade
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2nd
3rd
4th
5th
6th
7th
8th
Current Age
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Birthdate
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MM/DD/YY
School
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Parent/Guardian Information:
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First
Last
Email
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Parent Address
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Line 1
Line 2
City
State
Zip Code
Country
Cell Phone Number
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Home Phone Number
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Other parent/Guardian Information if different than above:
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Home Phone Number
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Call Phone Number
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Interested in Coaching?
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Yes
Assisting
No
PARENT/GAURDIAN WAVIER/AUTHORIZATION- please read release
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First
Last
WAIVER OF LIABILITY Release and Indemnification: As parent (legal guardian) of This participant, I hereby consent to her participation in the NBBA basketball program and assume all risks of injury resulting from such participation. I hereby agree to indemnify and hold harmless the NBBA and Davenport Public Schools for any claim of liability. In addition, in consideration for permission granted to my son by the NBBA to participate in its program, I hereby release and discharge the NBBA, its board, sponsors, coaches, coordinators and all other participants from all claims, demands, actions, judgments and executions which I or my child may have against the NBBA, its board, sponsors, coaches, coordinators and all other participants for all injuries caused by or arising out of the basketball program of the NBBA. I also give permission to the NBBA to post name and pictures of my player on the NBBA organizational web site. By entering your name you verify that you have read and understand the above:
Comments/Questions
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The Davenport Wildcats YSP are dedicated to build a tradition of excellence at Davenport North High starting at the Foundation, the Feeder Programs. SPORTS. PRIDE. FUN.