Sportregistratieformulier
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CITY OF LOS ANGELES-DEPARTMENT OF RECREATION AND PARKS WINNETKA RECREATION CENTER 8401 Winnetka Ave., Winnetka CA 91306 (818) 756-7876 SPORTS REGISTRATION FORM SPORT: DIVISION: REGISTRATION (for office use only) Male or Female P L A Y E R Last Name ________________________________ First Name _____________________________ G E N E R A L Address _____________________________________ City ___________________________, CA Zip Code _________________ Birth date _____/_____/_____ Age ______ Grade ______ Height ________ Weight ______ School ______________________ Are you a returning player Yes No If yes, what Team ________________ Division _______________ Do you have a sibling playing in the same division Yes No If Yes, Name ______________________________________________________ Age ________ Same team privileges will apply only to siblings Home Phone Number ___________________________ Best time to reach you at home _______________________________ Parent/Guardian Name ________________________ Work Phone ___________________ Cell Phone___________________ Parent/Guardian Name_________________________ Work Phone ___________________ Cell Phone___________________ EMAIL ADDRESS: _____________________________________________________________________________________ Emergency Contact Person (Another person not mentioned above and over 18 years-old) Name___________________________________ Telephone Number ________________________________ Relationship to participant ________________________________ Please check if you are interested in helping with one of the following: Coach Uniform Size: (Check One) Youth Sizes - Small Adult Sizes - Small Medium Medium Large Large X-Large X-Large Assistant Coach 99-Large PARENT CONSENT FORM I, the undersigned, give permission for my child, _____________________________, a minor, to participate in the WINNETKA RECREATION CENTER Sports program..
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