Basketball Registration (Eastland League) – 5th-6th

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Lena Sports Association

Boys and Girls 5th & 6th Grade 2024 Eastland Fall Basketball

Registration Form

Season: October 20th — November 24th

Registrations must be received by Sept. 20th. NO LATE REGISTRATIONS.

You must use this form to register and pay.

League fee is $50 and jerseys from last year can be used this year or a new one can be purchased for $25. Payment options appear once this form is submitted.

Games will be held on Sunday afternoons at Lanark High School or Shannon Jr. High with game times ranging from 11:00am-6:00pm. Teams will play one to two games per day. The first game will be held on October 20th and the final game will be November 24th. If you have any questions please contact Craig Albright at 815-291-3174.

Gender
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Jersey Size

Youth
Adult

***You may want to order a larger size as athletes can wear the same jersey for both 5th and 6th grade. These jerseys will also be used in the Winter Basketball League.

In consideration of participation in Lena Sports Association Athletics and any and all activities associated therewith, the undersigned, as participant, and the undersigned, as parent(s) and/or guardian(s) of the participant (hereinafter collectively referred to as “Releasers"), individually and collectively, for himself/herself and for his or her personal representatives, assigns, heirs and next of kin, hereby releases, waives, discharges and covenants not to sue the Lena Sports Association, Inc., and any of its officers, directors, agents, and/or employees (hereinafter collectively referred to as “Releases"), from any and all liability to the undersigned, his or her personal representatives, assigns, heirs, and next of kin for all loss or damage, and any claim or demands therefore, on account of injury to the person or property or resulting in death of the participant, whether caused by the negligence of Releases or otherwise while participant is engaged in any activity associated with or conducted by the Lena Sports Association, Inc. The Lena Sports Association will not offer any insurance coverage to participants.

The undersigned further acknowledges having read this document in its entirety, and that he or she understands its contents and the purposes for which it is being executed. In the event that my son/daughter sustains injury or illness during the activities and trips conducted by the Lena Sports Association, I authorize whatever medical or surgical treatment is deemed advisable by available medical personnel. I understand the Lena Sports Association representative in charge of the activities will make a reasonable attempt to contact me and this authorization is intended to apply to situations that require prompt attention.

THIS IS A RELEASE

Entering your names in the text boxes below, then pressing Submit, represents your signatures.

After submitting this form, you will be taken to the payment page where you may pay using PayPal, Venmo, or by Credit Card.

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REGISTRATION IS NOW CLOSED.