Girls and Boys Basketball League by avn10155


									          Ardsley Parks and Recreation & Dobbs Ferry Recreation

         Girls and Boys Basketball League
This summer league gives children an opportunity to stay active while having fun and
making new friends. There will be two practices prior to the start of the league.

Day:               Mondays & Wednesdays – 3rd and 4th Grade
                   Tuesdays & Thursdays - 5th and 6th Grade
Where:             Gould Park in Dobbs Ferry
Time:              6:30 PM & 7:30 PM
Date:              Begins July 12th (5 weeks)
Ages:              Entering 3rd - 6th Grade             Register by 7/8/2010
Fee:               $45.00 – 1 Child
                   $65.00 - Family                      Shirt Size: YM YL AS AM AL

Please make checks payable to: The Village of Ardsley

Name: ___________________________________ DOB: _____ Sex: ____ Grade in Fall:_____

Address: ___________________________________________ E-mail: __________________

Phone No: __________________ Mobile No: _______________                                Shirt Size: YM YL AS AM AL

As a participant in the above program, I recognize and acknowledge that there are certain risks of physical injury and I agree to
assume full risks of any injuries, damages or loss which I or my child may sustain as a result of such participation. I further state
that I have explained the risk of participating in this program to my child and he/she is still willing to participate. I further
understand the Villages of Ardsley and Dobbs Ferry do not provide accidental medical coverage and it is my responsibility to provide
appropriate coverage. I agree to waive and relinquish all claims and hold harmless the Village of Ardsley, the Village of Dobbs Ferry
and their Parks and Recreation Departments, their officers, agents and employees from any and all claims.

Parent/Legal Guardian Signature: __________________________________________

Please return form to: Ardsley Parks & Recreation, 18 Center Street, Ardsley, N.Y. 10502
                       Any questions? Call Ardsley Recreation @ 693-8012

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