Filipino Canadian Sports Association

www.filcansa.org
2011 Age Boys & Girls Basketball Spring League

PRE-REGISTRATION FORM
Player Information

Important Notes: *

1. Fill up this registration and complete all information as required.
2. Incomplete Registration Form would not be accepted.



*Registration Date: [mm/dd/yy]
*Last Name:
*First Name:
*Middle:
*Street Address:
*City:
*Postal Code
*Home Phone:
*Cell Phone:
*E-mail:
*School Name:
*Grade:
*Birthday(yy/mm/dd)
*Returning Player:
 Yes No
*Gender:
 Boy Girl
*Height:(cm)
*Division Last Year:
*Jersey Size:
*Mother Name: *Father Name:
Parental Consent & Indemnity Agreement
(Players will not be assigned to a team unless signed.)
I consent to and assume all risks and hazards of and incidental to the participation of the above-named boy or girl in the activities of the Filipino Canadian Sports Association (FILCANSA).

I agree not to held liable the said Association and the Facility ( Notre Dame Secondary School) and its officers, volunteers, servants or agents nominated or appointed by or on its behalf against all loss from any claim hereafter made against it, them or any of them by or on behalf of the said boy or girl and arising directly or indirectly from such participation.

I also certify that the registered player is in good health condition except for any medical conditions reported in writing to Filcansa Management.

I also consent and have permission to use, post and display any elements of text, graphics, photos and video of my sons and/or daughters and myself as parents to be used in the enhancement of Filcansa website during the duration of the league, and will hold harmless, protect, and defend Filcansa from any claims or suit arising from the use of such elements.
Registration Fee: $110.00 ( includes team jersey top & shorts --- NBA colours )
*Team Player for 2011

Jr. Midget(beginners)
Midget(Gr. 3, 4 & 5)
Bantam(Gr. 6 & 7)

 Girls Elementary(Gr.4-Gr.7)
Novice(Gr. 8 & .9)
Jr. Secondary(Gr. 10 & 11)
Girls Secondary(Gr 8 -12)
Under 13 program