2018 3rd & 4th Grade Basketball Registration

Please complete the following registration and join us for an exciting season of basketball at Girls Place!
  • Membership

    Membership is a one time annual fee that is required to participate in any Girls Place program. Membership fees are $20 for one child and $40 for families with two or more girls participating and are valid from January 1st - December 31st. Membership is nonrefundable and nontransferable. Girls who have participated in after school, athletics and summer camp in 2018 have already paid their membership fees. New members will be assessed the appropriate membership fees when they register for the winter basketball program. Please call (352) 373-4475 if you would like to verify that your membership has been paid for 2018.
  • Winter Basketball Participation Fee

    The participation fee for the season is $75. The $75 fee includes your daughters 2018 membership fee.
  • Player Information

    This registration form is ONLY for girls who are in 3rd and 4th grade during the 2018-2019 school year. If your daughter is NOT in the 3rd or 4th grade, please press the "back" button on your browser and select the correct registration form. No spots will be saved for those who filled out the wrong form. Your name will go to the bottom of the waiting list. NO EXCEPTIONS!
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  • Basketball Information

    The information is used in conjunction with evaluations to make teams as even and fair as possible. Please help us by selecting the options that best fit your daughter's playing experience and skill.
  • Please select the option that most closely relates to your daughter's basketball skill level for her age group. 1 = Beginner. Little to no experience, does not know proper form and has little to no understanding of the game. 5 = Advanced. well-rounded player, uses proper technique and has a solid understanding of all aspects of the game.
  • Select the number of seasons your daughter has participated on a basketball team in an organized league.
  • Basketball Practice

    In order to make teams as fair as possible, we cannot accept requests for specific coaches or practice times. We will do our best to accommodate requests, but please note your daughter will practice on Monday and Wednesday with games on Friday. Practices take place twice a week for one hour and are held between 5:00pm and 8:00pm. Practice times are assigned when teams are announced at the beginning of the season and will stay the same for the entire season.
  • Pre-Season Evaluations

    Your daughter MUST attend an evaluation day. Evaluations are necessary for us to make teams as fair as possible. Your daughter will go through various drills with coaches so that we can determine her skill level.
  • If you need to adjust your evaluation date in the future pleace contact Coach Charlie via email at Charlie@girlsplace.net
  • Parent/Guardian Information

  • Emergency Contact

  • Must be someone other than a parent or guardian.
  • Volunteer with Girls Place Athletics!

  • Demographics

    The following is optional and ONLY used to assist us in obtaining funding and various grants. THIS INFORMATION WILL BE HELD CONFIDENTIAL.
  • Please remember that this information is held confidential and is used for reporting purposes and securing grants to better serve you.
  • Family Spirit Shirts

    Want to order a shirt in your child's team color with her name on the back? Please place your order now to have your shirts by the first game of the season! Shirts must be paid for by the registration deadline, November 29th. Non-payment will result in cancellation of the order.
  • If left blank, we will use the athlete's first name as listed above.
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  • Girls Place Policies and Practices

    The following section includes information regarding payments, releases and our programming. Please read this information carefully. You will be held responsible for all of the content. Please contact Charlie at Charlie@girlsplace.net with any questions.
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  • Signature

  • I have read and fully understand the contents of this application. I have completed the application to the best of my knowledge and ability. I understand that if any information listed in this application changes, I will notify GIRLS PLACE immediately. The child/children listed above has/have my permission to participate in the activities sponsored by GIRLS PLACE as noted on the program schedules. In the case of an emergency an alternate person will be called if the parent(s) can not be reached by phone. The undersigned, individually and as parent or guardian of the participant, hereby authorize GIRLS PLACE to carry out any measures deemed necessary should an emergency occur, including at the expense of the undersigned, appropriate medical treatment for the participant, and hereby releases the GIRLS PLACE, its employees and agents, from any liability or claims arising out of the participant's engagement in the above described events.
  • Type full name here
  • **Includes your daughter's 2018 Girls Place Membership**
  • $0.00
    Includes Participation Fee, 2018 Membership Fees and any Spirit Shirts ordered.