ARAGBA Registration Form

ARAGBA Registration

First Name __________________________________________ Last Name __________________________________________

Phone _________________________________________ Alternate Phone __________________________________________

Address ______________________________________ City ____________________ State __________ Zip ______________

Present Grade ________ School Presently Attending ____________________________ Birth Date ___________________

Mother's Name ______________________________________ Father's Name ______________________________________

Email Address ______________________________________

Please indicate what activities you would like to volunteer for:

_____ Coach

_____ Assistant Coach

_____ Team Parent

_____ Scorekeeper

I, the parent or guardian of the above named candidate for the Anoka Ramsey Area Girl's Basketball Association's (ARAGBA) athletic program, do hereby give my consent for the above to participate in any and all ARAGBA activities during the current season. I assume full risks and hazards incidents to such participation and waive, release, absolve, indemnify and agree to hold harmless the ARAGBA and any other cooperating associations or organizations, supervisors, sponsors, coaches, participants and persons transporting my child or children to or from activities, for any claim arising out of injury.

I realize that no guarantee is made that my child will be placed on the team requested.
I also give my permission for the ARAGBA to use our name, address and phone number for roster purposes.
I agree to work at least one 4 hour blocks at the ARAGBA tournament or my deposit check of $75.00 will be cashed.
Upon successful completion of my 4 hour block of time at the ARAGBA Tournament and the return of the uniform and practice jersey, my $75.00 check will be returned.
I agree to return the uniform and practice jersey on time and in good condition at the end of the season or will pay the replacement cost of $150.00.
I understand that participants in the ARAGBA program must be residents of School District #11, live, work, or have a written letter of intention to attend Anoka Senior High School..

I agree that full payment or payment arrangement will be made before my player may participate in any team activity. I understand that if I do not fulfill any payment obligation, my player will be suspended from any team activity until payment is made.

Parent / Guardian Signature __________________________________________________________ Date _________________

Parent / Guardian Email Address ____________________________________________________________________________

Fee Paid - Amount $ _________________________ Check No. _______________________ Cash (Y/N) ___________________

Visit our website at www.aragba.org