Plainfield Recreation Youth Basketball

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YOUTH BASKETBALL is open to children who live in the Town of Plainfield. Youth Basketball is designed to teach ... skills through drills and scrimmages.
Plainfield Recreation 2014-2015 Youth Basketball YOUTH BASKETBALL is open to children who live in the Town of Plainfield. Youth Basketball is designed to teach children the fundamentals of basketball including skill development and sportsmanship.

Children are placed on teams who are coached by volunteers. Teams are co-ed. The season will begin in late November and go through February. Games are held at Plainfield Central School and practices rotate between Plainfield Memorial, Plainfield Central, Moosup Elementary and Shepard Hill. There is one practice and one game per week rotating between Mondays, Tuesdays, Wednesday and Thursday with an occasional Saturday. The program is held in the evenings. Players will recieve a full schedule at the first practice. Players will attend a “Team Selection” night where their skills will be evaluated and they will be placed on a team. A letter confirming this date will be mailed once registration closes.

DIVISIONS: JUNIORS: SENIORS: MASTERS:

3 & 4th grade 5 & 6th grade 7 & 8th grade

HOW TO REGISTER: 1. Registration begins 10/14/14. A registration form must be completed and returned with the $50 registration fee to the Plainfield Recreation Office. 2. The REGISTRATION FORM is available online at www.plainfieldct.org click on Recreation link and then Registration Form link. Forms are also available at the Recreation Office. 3. Registration closes 10/31/14 or when program is full . There is limited space in each division. Registrations are first come, first serve. 3. We do maintain a waiting list of children who wish to play but miss the closing date. 4. Children must wear sneakers. A game t’shirt is provided. We recommend mouth guards for all children participating in youth sports. .

VOLUNTEER COACHES ARE NEEDED PLEASE CONTACT THE RECREATION OFFICE AND COMPLETE A VOLUNTEER COACHES FORM Turn the page for Kindergarten thru 2nd Grade Program

9/26/14

Plainfield Recreation Department www.plainfieldct.org 482 Norwich Road Route 12 Plainfield 860-564-1819

PLAINFIELD RECREATION DEPARTMENT

SATURDAY YOUTH BASKETBALL Pee Wee Program 7 Week Program Begins January 10, 2015 at Plainfield Memorial School Session I 8:30am-9:30am Kindergarten Session II 9:45am-10:45am 1st Grade Session III 11:00am-12:00pm 2nd Grade Session IV 12:15pm - 1:15 pm TBA (we reserved the right to combine classes based on numbers)

Registration begins October 14, 2014

Pre-Registration required. $35.00 Limited space register early. Registration ends 10/31/14 or when program is full The REGISTRATION FORM is available online at www.plainfieldct.org click on Recreation link and then Registration Form link. Forms are also available at the Recreation Office. Return completed form with payment to the Recreation Office.

This is an instructional program that will teach basic and fundamental basketball skills. Children will learn skills through drills and scrimmages. A smaller ball and lower basket are used. Sneakers are required. We recommend all children in youth sports wear mouth guards.

VOLUNTEER COACHES ARE NEEDED PLEASE CONTACT THE RECREATION OFFICE AND COMPLETE A VOLUNTEER COACHES FORM Turn the page for 3rd thru 8th Grade Program

Plainfield Recreation Department www.plainfieldct.org 482 Norwich Road Route 12 Plainfield 860-564-1819

Recreation SPORTS PROGRAM REGISTRATION Form Return Form (with appropriate fees) to: Plainfield Recreation 482 Norwich Road PRINT Participants First/Last Name

Program/Activity

T’Shirt Size - circle: YS (6-8) YM (10-12) YL (14-16)

Gender

Plainfield 06374 DOB

AS (34-36) AM (38-40) AL (42-44)

Grade

Fee

AXL (46-48)

Parent/Guardian Name _________________________________________________________________________________________________

Home Phone #____________________________Cell and or Work Phone #_____________________________________ Mailing Address______________________________________________ Town__________________________________ Street Address if different_______________________________________________________Zip Code_______________ Emergency Contact (secondary parent/guardian plus additional adult):

___________________________________________________________________________________________________________ Name Phone Relationship ___________________________________________________________________________________________________________ Name Phone Relationship List any medical, allergies, physical limitations, special needs/conditions and /or medications we should be aware of: _______________________________________________________________________________________________ EMERGENCY RELEASE: I grant permission to the Town of Plainfield to utilize any medical emergency services it deems necessary to treat any injury that I or my child may incur. WAIVER: I understand that participation in any Town of Plainfield recreational programs and/or it’s related facility by myself or my minor child involves risks. I understand that participation in any recreational land or water sport/program or activity there is an element of risk, physical contact and strenuous physical activity in which each participant voluntarily assumes all risk. I affirm that my health is adequate and that I am not under any physician’s care that bears upon my (or my minor child’s) participation in the above activity. In consideration of being allowed to participate in town activities, I assume all risks, including personal injury and fatality, which may arise from participation of myself or my minor child in such activities. I agree for myself, my family, heirs, executors and administrators to not sue and to release, indemnify and hold harmless the Town of Plainfield and their affiliates, officers, directors, employees, volunteers, successors and assigns from any and all liability, claims, demands and causes of action whatsoever, that may arise from the participation of myself or my minor child in town sponsored activities and its various programs on or off-site, whether it results from the negligence of any of the above named persons or entities or from any other cause. This release and indemnification agreement shall be as broad and inclusive as is permitted by the law of the State of Connecticut. If any portion of it is held invalid, the balance shall continue in full force and effect. PHOTO RELEASE: I understand that for promotional purposes, the Town of Plainfield and local media takes photographs of participants enrolled in recreational activities, classes or programs. I hereby release and permit the Town of Plainfield to utilize for said promotional purposes any photographs of me or my minor child engaging in the above listed activities.. ________________________________________________________________________________________________ PARTCIPANT or Parent/Guardian Signature Date

Refund Information: Refunds (depending on program) may be given if particpant cancels two weeks prior to start of program and it does not effect the outcome of a program. Credits will be given up to the first full week of program. There are no credits or refunds for trips, child care registration fees or summer recreation deposits.

Payment information: Please make checks payable to Plainfield Recreation Recreation Office: Amount paid:____________Check or Cash REVISED 9/14

Date:______________

Receipt:_______________