Quinlan Sports Association - (Quinlan, TX) - powered by LeagueLineup.com

Little Dribblers Basketball

Little Dribblers Commissioner
Ronnie Hibdon

This sport is for boys and girls that want to learn the basics of Basketball. Players must be in Pre-K or pre k age. Age 4 and up to participate.
QSA fee is $50.00 and includes a T-shirt.

* Grade Level:

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

* Birthdate:

Gender:

* Grade:

PARENT/GUARDIAN

* Firstname:

* Lastname:

EMail:

* Home Phone:

Work Phone:

* Alt Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

COMMENTS: any special instructions regarding player:

Cost is $50.00 including shirt

* Please select shirt size:

WAIVER INFORMATION

WAIVER

In consideration of Quinlan Sports Association(QSA)allowing the undersigned participant to participate as part of QSA, I recognize that my child could incur risk in participation in this event. I hereby absolve now and forever QSA, BISD, QISD an or any organizer of QSA, BISD, QISD, the competitions, thier games, their agents, employees and all other person, firms and corporations that might be involved with them, whether named or not, all and each of them of any from any and every claim, demand, action, right of action of whatsoever kind fo nature, either by law or in participation in and with QSA, BISD school gym and all facilities, QISD school gym and all facilites during the period of practices and or competitions. Whether by negligence or not following the direction set by directors/coaches. I further agree to release QSA and/or its representatives from any responsibility in the of an injury to said participant. Parent/Guardian is responsible for the $50.00 deductible for insurance in case of injury.

Checks, Cash, or Moneyorders Accepted.
$25.00 Charge for all returned checks, violatores will be prosecuted. QSA boad meetings are held monthly the first Wednesday, following the first Tuesday. QSA board meetings start at 7pm and are open to the public.

I/we agree with the above *

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