Would you like to Volenteer !!!!Name of Volunteer:___________________________________________ Phone#_______________
Email address _______________________________________________
Please check those that interest you:
Head Coach: Junior Division ____ Senior Division ____ Assistant Coach: Junior Division ___ Senior Division __
Concession: Assist with sale of food and beverages. ___ Team Parent: Provides updates to Head Coach ______
Registration Assistance: Help the league with Email, walk up and Phone Registrations______
Scorekeeper / Timekeeper: Keeps the books or run the clock at the games._________
Late Registration Fee: $45.00/per player + *$20.00 Fundraiser Buyout May 6 - May 26, 2007
*Note: There is an additional $20.00 Basketball Leauge Fundrasier Buyout Fee due at registration. Buyout fee is refundable to players whom elect to participate in the League Fundrasier. $20.00 Refund is based on the sale of 10 or more fundraiser units. Total Registration fee. = $65.00
Registration Instructions:1) Fill out form completely and legibly.
2) Parent/Guardian must sign Medical Release, Code of Conduct and Parent/Guardian player permission.
No refunds after May 31, 2007. Mail Registration, Checks, or Money order to: BCWB, P. O. Box 3528, Frederick, Md. 21705-3528. This is an outdoors league with games held on Saturday mid-morning / afternoons.
Medical Release, Agreement to Abide by the Code of Conduct and Parent/Guardian player permission :
I certify that my child is in good physical condition and is fit to participate in Basketball Coaches Without
Boundaries Youth Summer League Basketball; I have read and understand the BCWB YSL Code of
Conduct for players and spectators: I agree, abide by, and promote the regulations and principles outlined
in the Code. Additionally, I understand that my participation in Basketball Coaches Without Boundaries activities involves risks and dangers of serious and permanent bodily injury. I, or my parent/guardian, if I am a minor, hereby release, hold harmless, discharge and agree not to sue Basketball Coaches Without Boundaries, its Directors, Officers, Employees, Coaches, Officials, Volunteers, Agents, Sponsors, Advertisers, Owners/Lessors of Premises for any and all liability from my participation in these and any other Basketball Coaches Without Boundaries related travel, lodging, social/recreational activities.
Date: ____________ Parent/Guardian Signature _________________________