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

8 week program

Open to boys and girls age 4 thru 6

Purpose is to develop basic basketball skills

Registration fee $35.00 T-Shirt Provided

Played on Saturdays at all sites listed above, will play at the site your child is registered for

Sign-ups Dec. 14 from 9 - noon in the WCRC Office and at the sites listed above.

You may also stop by our office during normal business hours

or print the form off and return by mail.

Play begins Jan. 5, 2019

 Registration Form

Wood County Recreation Commission

Small Fry Basketball

 

Name: _____________________________________ Age _____D.O.B _________

 

Address: ___________________________________________________________

 

City:________________________________ State: ______________ Zip ________

 

Email: _____________________________ Location: ________________________

 

Shirts Size:___________________________________________________________

     Please Circle the school of your choice:   (Jefferson, Mineral Wells)

Attention Parents

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 1^st, 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

Fax: 304-424-7334

Small Fry Registration Form