Place:

Eagan Community Center, Eagan, MN

 

Dates:

Sundays, May 3rd, 10th, 17th, 31st, & June 7th

 

Time:

Session #1 – Kindergarten & 1st Grade – 5:30 p.m. to 6:30 p.m.

Session #2 – 2nd Grade & 3rd Grade – 6:30 p.m. to 7:30 p.m.

 

Player Participation Fee:

$75 per player (calculates to $15 per session)

 

Participating Teams:

 

Team 1

Team Names TBD

Team 3

Team Names TBD

 

 

Team 2

Team Names TBD

Team 4

Team Names TBD

 

-teams will consist of min. 5 players and max of 10

– if a 2nd session is needed tc hoops will make arrangements to that established

 

Send League Registration to League Coordinator:

 

 

Tylor Coley – 2268 Wall St., Eagan, MN 55122

 

 

For Questions call: 612.251.4815

 


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Students Name

 

 

Street Address

 

Phone

 

 

Grade

 

Age

 

Birthday

 

T-Shirt (Youth) 

 S  M  L  XL  XXL

Short Size (Youth)

 S  M  L  XL  XXL 

 

Parent/Guardian Name

 

1st Phone

 

 

(Printed)

2nd Phone

 

 

 

 

 

Emergency Contact

 

1st Phone

 

 

(Printed)

2nd Phone

 

Medical Information

Family Doctor

 

Phone

 

Preferred Hospital

 

Phone

 

 

I hereby grant permission for my son/daughter to participate in this event created by theplayingfield.net. As a the parent/ guardian I’m responsible for transportation to and from events and practices and will not hold any agents or representative of  theplayingfield.net responsible for the transportation of my child.  I also grant permission to theplayingfield.net to act for me according to their best judgment in any emergency requiring medical attention and hereby waive and release Harvest theplayingfield.net and its representatives from any and all liability for any injuries incurred while participating in this event.

 

Parent/Guardian Name

 

 

Printed Name

 

 

 

Signature