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  Registration

 
Welcome to the Twinboro Bears registration process. Please complete all information on the page and hit the Register button. You will be contacted by someone from the League to complete your child's registration process. REGISTRATION MUST BE IN BY JUNE 1, 2008.

All fields marked with an asterisk (*) are required.


Participant's
Name:

First Name:*

 

Last Name:*

 
 

Participant's
DOB:

Date Of Birth:*

  

Weight(lbs):*

   
NEW PLAYERS MUST PROVIDE A COPY OF THEIR BIRTH CERTIFICATE.!!!!!!


Address:

Address 1:*


Address 2:

 

 

City:*


State:*


ZIP:*

 

Parent /
Guardian:

First Name:*


Last Name:*

 


Phone:

Home:*


Work:


Cell:*

 

Email:

Email1:*


Email2:

 

Health
Insurance :

Company:*


Policy Number:*


Subscriber Name:*



Medical Conditions / Allergies :



Physician :

First Name:*


Last Name:*


Phone:*


Emergency
Contact:





 

First Name:


Last Name:


Phone:


Volunteerism: (you must select at least one of the following)












DISCOUNTED FEE APPLIES FOR REGISTRATION ON OR BEFORE JUNE 1, 2008
1 FAMILY MEMBER=$315, DISCOUNTED FEE=$165
2 FAMILY MEMBERS=$450, DISCOUNTED FEE=$300
3 + FAMILY MEMBERS=$525, DISCOUNTED FEE=$375

$150 EQUIPMENT DEPOSIT IS REQUIRED, PAYBLE AT EQUIPMENT HANDOUT IN JULY

Contact Registration:      $


DISCOUNTED FEE APPLIES FOR REGISTRATION ON OR BEFORE JUNE 1, 2008
1 FAMILY MEMBER=$240, DISCOUNTED FEE=$90
2 FAMILY MEMBERS=$315, DISCOUNTED FEE=$165
(FEE INCLUDES GAME PANTS AND JERSEY)
Flag Registration:           $



Donations:
TBB is a non-profit organisation,
your thoughtful donations will go towards maintenance
and purchase of protective equipment for our children
Your Donations Total:     $  


  Total Amount Paid: $
Check #  

CHECKS MADE PAYBLE TO TWIN BORO FOOTBALL
Mail To:Lori Sica PO Box 429,Brookside NJ 07926
Questions?:lgsica99@verizon.net

This is not a school sponsored activity

  Terms & Conditions:

Please Read Carefully:
I/we the parents of the above named child, who is a candidate for a position on a Twin Boro Bears Football Team, hereby give my/our approval for his/her participation. I/we assume all risks and hazards incidental to the conduct of the activities and transportation to and from the activities. I/ we do further hereby release, above (Twin Boro Bears) and hold harmless organizers, sponsors and supervisors, and any and all of them. In case of injury to my/our child, I/We hereby waive all claims against the organizers, sponsors and any persons transporting my/our child to and from activities. I/we understand that the organizers carry limited medical insurance and that I/we will be responsible for any and all medical coverage, if needed. I/we understand that if any injury does occur, the athlete will not be reinstated unless a note from a physician is presented to the administrator in charge.

EQUIPMENT
Additionally, any and all equipment that is provided to you for participation in these activities is your responsibility, a $150 deposit will be required at equipment hand out (contact football) and will be deposited by the program should this equipment be damaged due to mistreatment or not returned within 2 weeks of the season's end or on the announced turn in date.