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FCYL Winter
Basketball Registration

Register and pay online!

This registration is only for the following groups: 

BOYS 2nd-3rd grade, and ALL 6th-7th grade.

Registration open through December 27th, 2024 

Late registrations not taken.

NOTE: Registration cannot be completed unless

paid for upon submission ($35 per registrant).  Please contact the Youth League directly with any questions or concerns. 

Player Information

Select the grade/sport for your player:
Select the school your player attends:
Select your player's T-shirt size:

Parent/Guardian Information

Coaching Interest
PHOTO AUTHORIZATION: I hereby give my permission for myself/my child to be photographed while participating in Department activities/programs and I give this Department permission to use or distribute such photo and identification. I understand this consent complies with Section 8.01-40 of the Code of Virginia

ASSUMPTION OF RISK AND AGREEMENT TO PARTICIPATE/CONDUCT POLICY

I, being a participant or parent giving consent, am aware that playing or practicing to play, can be a dangerous activity, involving many RISKS OF INJURY. In consideration for the opportunity to participate, fully recognizing that such an undertaking involves an element of risk, participants and parents assume all risks and hazards incidental to such participation and do hereby release, absolve, indemnify, and agree to hold harmless, Wythe County, its Parks and Recreation Department, the Parks and Recreation Commission, employees, officers and chaperones, leaders, organizers and sponsors.

The Wythe County Parks and Recreation Department and Parks and Recreation Commission nor any of the said persons shall be held financially responsible for any injury, illness from infectious diseases included but not limited to MRSA, influenza and COVID-19 or death incurred as a direct result of this activity. In the event he or she is unable to communicate from an accident, I hereby give permission that my child may be given emergency treatment by a physician or emergency personnel, to render appropriate medical care, to hospitalize, secure proper treatment, and to order injection, anesthesia or surgery for him or her.

Conduct Policy: Any person or persons showing improper conduct during an activity sponsored by the Wythe County Parks and Recreation Department or Youth Booster Club may be asked to leave the program--this includes those that volunteer to coach. Parents will be notified immediately of the circumstances regarding their dismissal. Any person or persons acting in a way that endangers the safety of participants, volunteers, or staff members will be immediately removed from the activity.

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

NOTE: Registration cannot be completed unless

paid for upon submission ($35 per registrant). 

Please contact the Youth League directly with any questions or concerns.

Thank you! 

This form no longer accepts submissions.

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