GREENCASTLE parks & recreation dept.

With support from the Greencastle Community School corp.

“My first shot!” BASKETBALL

The “My First Shot!” Basketball Program is a Saturday-only instructional program with practices, skill reviews,and a Saturday morning gameschedule beginning January 7thbetween 8:00 a.m. and Noon in the TZ Elementary School Gym.

“My First Shot!” Basketball will provide instruction on how to play and develop the basic fundamental skills of basketball, while promoting four primary objectives; 1) Instructing the proper fundamentals, 2) Promoting the value of teamwork, 3) Displaying good sportsmanship and fair play, all while 4) Having fun at practices and games.

The schedule will begin January7thwith practices that will progress to skill reviews and games. Skill review times will get shorter and game times longer as the season progresses. Coaches are to stress skill development and equal playing time. Scores, stats or standings will not be kept. Officials will referee the Kindergarten“My First Shot! Basketball games.

The Greencastle Parks & Recreation Department has again teamed up with the Jr. Pacers Program for the “My First Shot!” Basketballand GPRD Youth Basketball Programs. Each participant will have the Indiana Pacerslogo imprinted on their uniform t-shirt and receive a free ticket to an Indiana Pacers game!

The “My First Shot!” Basketball Program is organized by the City of Greencastle Parks &

Recreation Department and its Youth Basketball Board, andwith the support of the Greencastle Community School Corporation. “My First Shot!” Basketball is the introductory step to the GPRD Youth Basketball Program.

ELIGIBILITY: Boys Girls in Kindergarten attendingGreencastle Schools

Registration Fee: $40.00Per Player

Register by Saturday, October 31st for a chance to win an autographed basketball signed by a Pacers player.

REGISTRATION DEADLINE: FRIDAY, NOVEMBER 25th, 2016

Registration forms with payment may be dropped off at any time to:

Greencastle City Hall, 1 North Locust Street in Greencastle

or can be mailed to the Greencastle Parks & Recreation Department,

1 North Locust Street, Greencastle, IN 46135

For more information, please call: (765) 653-3395

-- PARENTS, PLEASE FILL IN ALL BLANKS ON BOTH SIDES OF FORM--

Name of Player: ______DOB: ___/___/___ Age: ______Gender: M or F

Height: ______Weight:______School: ______Grade: Kindergarten

Special Health Needs: ______Home Phone: ______

Parent’s/Guardian’s Name(s): ______Cell Phone: ______

Home Address:______City: ______Zipcode:______

E-mail address for program announcements: ______

Emergency Contact: ______Relationship: ______Phone: ______

Player t-shirt sizes: Please choose one. Thanks! Youth: S(6-8) _____ M(10-12) _____ L(14-16) _____

-------- F o r o f f i c e u s e o n l y ---------

Date: _____/_____/2016 Fee Paid $______Cash______Check #______Receipt #______

G.P.R.D. “My first shot!” BASKETBALL

PROGRAM AGREEMENT, ACKNOWLEDGEMENT & ASSUMPTION OF RISK FORM

PLEASE READ: Each registrant’s parent and/or legal guardian must read this section and sign the form. This registration form will not be accepted unless all portions of the registration have been completed.

Refund Policy: No refunds will be allowed after t-shirts and/or equipment has been ordered.

Team Assignments: The Greencastle Parks & Recreation Department, along with a volunteer board of directors, will be responsible for assigning players to teams. The number of divisions and levels within the program will be determined by the amount of registration forms received. When assigning teams, the following will pertain:

  • Siblings will be assigned to the same team if in the same division or level.
  • Parents who are coaching a team will be assigned to their child’s team.
  • No other special requests will be considered (Includes friends, rides, favorite coach, assistant coaches, etc.).

Program/Weather Cancellations: The first set of games called off due to poor weather will be cancelled and not made up. Any others will be postponed and played as the schedule allows. Makeup games may be played outside of the Saturday schedule, if needed, as gyms are available. Missed practices will not be made up.

Parents Code of Ethics: “I promise to support the goals of “My First Shot!” Basketball and the Youth Basketball Programorganized by the Greencastle Parks & Recreation Department which includes teaching youth to work cooperatively and develop self-esteem through sports, to develop sports skills, and above all, to have fun. Furthermore, I understand that as a spectator if my conduct or language is deemed inappropriate by the Greencastle Parks & Recreation Department’s gym supervisor or game official, I may be asked to leave the gym. If requested, I will leave promptly.”

Acknowledgement & Assumption of Risk: “I hereby acknowledge that the Greencastle Parks & Recreation Department has warned me that my child may be injured by participating in the “My First Shot!” Basketball Program. By its very nature, many parks & recreation programs involve body contact, substantial physical exertion, emotional stress and/or use of equipment which presents a certain risk to the user. Injuries may include, but are not limited to, sprains, strains, fractures, ligament and cartilage damage, paralysis, and even death. Even though these injuries may occur, I give consent for my child who is named on this form, to participate in the Greencastle Parks & Recreation Department’s “My First Shot!”Basketball Program. I understand and accept that there is no Benefit Fund for participants in this program, and I agree to assume personal responsibility for any injuries that my child may suffer as a participant in this program. I also realize that there will not be trained medical personnel on site during practices and/or games.

Furthermore, I do hereby RELEASE and forever DISCHARGE the Greencastle Parks & Recreation Department, the City of Greencastle, Indiana, the Greencastle Community School Corporation, the Indiana Pacers and their respective agents, officers, employees and volunteers from all claims, demands, or damages due to injuries received through the participation in the youth basketball program. I affirm under penalties of perjury that I am 18 years of age or older, and that I executed the above and foregoing Program Agreement, Acknowledgement & Assumption of Risk Form, and that such are true and correct to the best of my knowledge.”

I (WE) HAVE READ THIS DOCUMENT AND UNDERSTAND THAT IT IS A RELEASE OF ALL CLAIMS AND THAT I (WE) WILL ABIDE BY THE PROGRAM GUIDELINES.

X______Date: ______

[Signature of parent(s) or guardian(s)]

NOTE: TEAM SPONSORS ARE NEEDED! Yes, I would like to sponsor a team @ $145.00/team.

Business Name: ______Contact’s Name: ______

Mailing Address: ______City, State, Zip:______

Contact Phone: ______Specific child, coach, or level: ______Shirt Color: ______

1st Choice 2nd Choice

NOTE: VOLUNTEER COACHES ARE NEEDED

I am willing to COACH as a volunteer in the “My First Shot!” Basketball Program and realize, as a precaution, that I must complete the Official 2016 Volunteer Coaches Application and undergo a mandatory background check.

Name: ______Phone: ______Shirt Size: ______Child: ______

(Volunteer’s name) S M L XL XXL (If participating in program)