LADY CAVS BASKETBALL YOUTH DEVELOPMENT LEAGUE
SIGN UP NOVEMBER 2,2003
AT CHS GYMNASIUM 1PM-3PM
PLAYER NAME___________________
GRADE___________________________
I __________________give permission for my daughter__________________to participate in the Lady Cavs basketball camp/Youth Development League. I understand that my daughter must have a physical on file and that Chillicothe city schools or camp/League director will not be responsible for any injuries that may occur during camp. In case of emergencies please call the following numbers or follow these instructions:_____________________________________
______________________________________________
______________________________________________
NAME_________________________
ADDRESS_______________________
PHONE_________________________
Shirt Size____________________
CHECK FOR $35.00 MADE PAYABLE TO LADY CAVS BASKETBALL
JEFF LISATH, 381 YOCTANGEE PARKWAY, CHILLICOTHE, OHIO 45601
740-779-3068
*we will have two clinics prior to league play. Teams will play on Sundays 2pm to 5pm. Youth Development League will be at Triple Crown, Chillicothe, Ohio.