Wattles Park Men's Club 2018-2019 Basketball Signup
PRIMARY PHONE ______________________SECONDARY PHONE _________________
ADDRESS ___________________________________________ZIP CODE 490 ____
GRADE _______ CIRCLE: MALE FEMALE
HEIGHT: ___ FT. ___ IN. (Please Measure) BIRTH DATE _____ _____ _____
SCHOOL THAT YOU ATTEND ______________________________
PARENTS'/GUARDIANS' NAMES _______________________________________________(print )
Email address ___________________________________________
PARENTS: WE ARE IN NEED OF COACHES, ASSISTANTS, CONCESSION WORKERS AND PEOPLE IN THE MEDICAL/EMERGENCY CARE FIELDS. PLEASE VOLUNTEER YOUR TIME BY CHECKING IF YOU ARE ABLE TO SERVE AS:
______ BASKETBALL COACH (My child's team)
______ ASSISTANT COACH
______ CONCESSION WORKER (One time only)
______ EMERGENCY MEDICAL PERSONNEL - This worked successfully last season. Although rarely needed, it's nice to know that there's someone in the stands that might be able to help if an injury occurs. If you identify yourself we'll know that you might be there during the duration of your child's game. If an emergency occurs, we'll be able to contact you. If you are trained for this category, please indicate your profession (for example: doctor, nurse, fire fighter, police, etc.) Thanks for volunteering.
______ Enclosed is my check or money order for $55.
Mail your form and check or money order (made out to "Wattles Park Men's Club") to:
QUESTIONS????? email email@example.com or call Gary Lincoln at 979-4336
Additional Signup Forms are available on the Internet at www.wpmc.net
Return to WPMC Basketball page.