David Douglas School District

Community Sports Registration

Girls Basketball

Grades 3-5

Registration nights will be:

December 15 at Alice Ott from 3:45 pm - 5:45 pm December 16at Floyd Light from 4 pm - 6 pm. December17 at Ron Russell from 4:15 pm - 6:15 pm. December18 at District Office from 4:30 pm - 6:30 pm. December19 at District Office from 7:30 am - 4 pm

The district office is located at 1500 SE 130th Ave

Name: ______Home Phone: ______

School: ______Grade: ____ Address: ______

Teacher: ______Email: ______

FEES: $50.00

REFUND POLICY: Refund requests must be made

in writing no later than 30 days from the first

scheduled game. Full refunds will be only issued

if the student has not played in a game. $10 will

be deducted for materials, handling, and uniform.

Insurance

Players need to either purchase school insurance or have family insurance

School insurance may be purchased at a minimal fee from your

school’s office. Medical insurance is a requirement for participation

and is the responsibility of the parent or guardian.

Student has ______school insurance

______family insurance

Does your child have a medical condition and/or is your

child taking prescription medication that their coach

should be aware? If yes, please explain. (Attach if necessary)

____No ____YES ______

______

Emergency contact name:______

Emergency Phone Number: ______

(Different number than listed above)

In the event of an emergency, David Douglas Community Sports has my

permission to transport my child to the nearest medical facility for treatment.

______Still more questions? Contact David Petersen

Signature of parent/guardian Date at 503-261-8210

David Douglas Community Sports

Parental Code of Conduct

As a David Douglas Community Sports (DDCS) parent, you hereby pledge to provide positive support, care, and encouragement for each child participating in our league by following this code of conduct.

  • I will encourage good sportsmanship by demonstrating positive support for all children, managers and coaches (including those of opposing teams). This applies to every game, practice, or any other DDCS event.
  • I will encourage good sportsmanship by demonstrating positive support for all referees, league officials, and other parents at every game and event.
  • I will place the emotional and physical wellbeing of all children on all team ahead of my personal desire to win.
  • I will teach my child to treat all other players, coaches, referees, league officials, and parents with respect.
  • I promise to help my child enjoy DDCS by being respectful to all players, coaches, referees, league officials, and parents.
  • I will insist that all children play in a safe and healthy environment.
  • I will demand a drug, alcohol, and tobacco-free environment for all children and agree to assist by refraining from their use at all DDCS games, practices, and events.
  • I will remember that DDCS are for the children and not for adults.
  • I will do all I can to make the game fun and safe for all the children.
  • I understand that DDCS is a volunteer organization that needs parent participation with coaching and refereeing and I will help out when I can.
  • I understand that team rules have been established to enable the coaches to effectively conduct the affairs of the team in accordance with DDCS rules. I understand my child is subject to team rules.

I understand that if or when I cannot follow these expectations, I may be asked to leave the game or practice facility by DDCS staff.

I agree with the David Douglas Community Sports Parental Code of Conduct AND

I understand that the David Douglas School District carries no athletic insurance for Community Sports/Recreation programs and does not assume responsibility for injuries sustained in practice or games. If insurance coverage for injuries is desired, I recognize that such coverage is my responsibility as the parent/guardian. I approve the participation of my child in Community Sports/Recreation athletics and authorize the administration of essential first aid when necessary.

Parent/Guardian: ______

Date: ______