WESTSIdE CONNECTION
Westside Connection Girls 5th – 8th grade TOURNAMENT January 27th and 28th $125.00 per team Registration opens December 20th
Registration deadline
January 20th
3 game guarantee; Paid Officials; Coaches Lounge; All games played at West Middle School located at 3301 West 19th Street, and/or West High School located at 2001 Casselman St.; Fan admission is $1.00 per person on Friday, and $3.00 for adults, and $2.00 for children over two year of age on Saturday. Questions: Contact Juan DeLaGarza 712-899-8701 [email protected]. Make checks payable to Westside
Connection. Mailing Address: Westside Connection PO Box 3291 Sioux City, IA 51101 Team Name:
Coach/Contact:
Address:
City:
State:
Zip:
Alternate Contact: e-mail(s):
Player Name (First & Last):
Cell Phone: ( Alt. Phone: (
)
Home Phone: (
)
) Grade:
Phone #
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.
I understand that my registration is not complete until payment is received by Westside Connection. No slots will be held without payment. By signing below, I/we [the team] understand all risks and hazards incidental to such participation and do hereby waive, release, absolve, indemnify, and hold harmless Westside Connection, its affiliates, its volunteers, and its facility owners from any claim arising out of any injury to any child on my team or my coaching staff.
Coaches Signature _______________________________________________Date _____________
Registration deadline
January 20th
3 game guarantee; Paid Officials; Coaches Lounge; All games played at West Middle School located at 3301 West 19th Street, and/or West High School located at 2001 Casselman St.; Fan admission is $1.00 per person on Friday, and $3.00 for adults, and $2.00 for children over two year of age on Saturday. Questions: Contact Juan DeLaGarza 712-899-8701 [email protected]. Make checks payable to Westside
Connection. Mailing Address: Westside Connection PO Box 3291 Sioux City, IA 51101 Team Name:
Coach/Contact:
Address:
City:
State:
Zip:
Alternate Contact: e-mail(s):
Player Name (First & Last):
Cell Phone: ( Alt. Phone: (
)
Home Phone: (
)
) Grade:
Phone #
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.
I understand that my registration is not complete until payment is received by Westside Connection. No slots will be held without payment. By signing below, I/we [the team] understand all risks and hazards incidental to such participation and do hereby waive, release, absolve, indemnify, and hold harmless Westside Connection, its affiliates, its volunteers, and its facility owners from any claim arising out of any injury to any child on my team or my coaching staff.
Coaches Signature _______________________________________________Date _____________
