5-6 Travel Girls

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5TH & 6TH GRADE
TRAVEL girls

TRAVEL PROGRAM: 5th & 6th grade Girls

Girls in 5th and 6th grade in the Palmerton School District that sign up for basketball will be placed on a 5th & 6th grade team. Please understand that this is a team sport and your child is expected to attend practices and games with their team.

Please fill out the form below for your 5th & 6th grade girl
(payment will be on the following screen)

* Indicates required field

PLAYER'S NAME *

First

Last

[object Object]

PLAYER'S BIRTHDAY

MONTH *

DAY *

YEAR *

PLAYER'S GRADE *

5TH GRADE 6TH GRADE

ADDRESS *

Line 1

Line 2

City

State

Zip Code

Country

ARE YOU WILLING TO HELP? *

HEAD COACH ASSISTANT COACH NO THANKS

I hereby give my son/daughter permission to participate in the PTAA Youth Basketball program. I understand I am financially responsible for any medical bills incurred by my child while at practices or games. I authorize the staff of PTAA Youth Basketball to act as they deem fit in the event an emergency arises. I hereby release and forever discharge the PTAA Youth Basketball coaches from any and all manner of actions, suits damages, claims and demands on the account of personal injury or death arising from my child’s performance and participation in the above listed activities. *

I AGREE

JERSEY SIZE *

YOUTH SMALL YOUTH MEDIUM YOUTH LARGE YOUTH EXTRA LARGE ADULT SMALL ADULT MEDIUM ADULT LARGE ADULT EXTRA LARGE

TRAVEL ALSO RECEIVES A SHOOTING SHIRT, SHIRT SIZE *

YOUTH SMALL YOUTH MEDIUM YOUTH LARGE YOUTH EXTRA LARGE ADULT SMALL ADULT MEDIUM ADULT LARGE ADULT EXTRA LARGE

PARENT/GUARDIAN CONTACT INFORMATION (PEOPLE YOU WOULD LIKE THE COACH TO CONTACT IN COMMUNICATIONS)

Name 1 *

First

Last

Phone Number 1 *

Email 1 *

Name 2 *

First

Last

Phone Number 2 *

Email 2 *

Name 3 *

First

Last

Phone Number 3 *

Email 3 *

Comment *

Submit, I understand I have to pay on the next screen

Home
Picture Schedule
COACHES CORNER
CALENDAR

5TH & 6TH GRADE​TRAVEL girls

TRAVEL PROGRAM: 5th & 6th grade Girls

Please fill out the form below for your 5th & 6th grade girl​(payment will be on the following screen)

5TH & 6TH GRADE
TRAVEL girls

Please fill out the form below for your 5th & 6th grade girl
(payment will be on the following screen)