Small Fry Beginner Basketball
Mineral Wells and Jefferson Small Fry will begin on Jan. 12, 2019. Mineral Wells will be conducting additional signups this Saturday, Jan. 5th at the site. Additional registration for both sites can be done at WCRC's office. You will be contacted by the Site Supervisor prior to Jan. 12th with the time to have your child (ren) at the site on Jan. 12th.
Jefferson and Mineral Wells Elementary
Wood County Recreation Commission
Small Fry Basketball
Name: _____________________________________ Age _____D.O.B _________
City:________________________________ State: ______________ Zip ________
Email: _____________________________ Location: ________________________
Please Circle the school of your choice: (Jefferson, Mineral Wells)
In order for your son or daughter to participate in the Small Fry Basketball
Program for the current season, it will be necessary to have this form signed
and returned to the league supervisor or WCRC prior to the beginning of play.
Registration fee is $35.00 and should be paid at time of registration.
Any Child who turns 13 Years Old Prior to March 1st, 2020 or any child who
participates in scholastic basketball other than elementary level is ineligible
to participate in Small Fry. Thirteen year-olds are not allowed to participate
in the all-star tournament.
We/I give our/my permission for the above named child to participate in the
Small Fry Basketball Program. It is clearly understood and agreed that the
Wood County Recreation Commission, its sponsors and all persons connected
with the program not be held liable in the event of injury to our son or daughter.
Parent/Guardian Signature: ______________________________________________
Home Phone: ______________________ Cell Phone: ________________________
Medical Information Release
I/we agree to authorize or Do not agree to authorize
(please circle one)
Wood County Recreation Commission Staff, coaches or medical persons to
share information concerning injuries or health problems concerning the
participant named below to address proper care of the injured or sick participant.
Participants Name: __________________________________________________
Parent/Guardian Signature: ___________________________________________
Relationship to participants: _______________________Date: ______________
WCRC PO Box 1306 Parkersburg WV 26102