Belton Girls’ Basketball 2013-2014
PIRATE PALS
*No cost to participate
*Need to bring form with you at time of sign up
*Walk ups will be accepted every week.
*Grades: Kindergarten – Grade 6
PIRATE PALS’ PROGRAM INCLUDES:
 Meeting the Girls’ JV/V coaches & players
 Pirate Pals individual picture button with JV/V player
 Player mentor
 Pirate Pal T-shirt-Cost $5
 Introduction of Pirate Pal at a home game
 Wear Pirate Pal button for FREE game entry
 Home game admission for Pirate Pal ONLY
SCHOOL:
___________________________
GRADE:
K
1
2
3
4
5 6
T-Shirt Size (Cost $5):
YS
YM
AS
AM
Last Name: _________________ First Name: ______________
Parent/Guardian Name: _________________________________
Mailing Address:
_____________________________________________________
Picture Date: November 23
_____________________________________________________
Practice Dates/Times/Location: Saturday’s November 9,
November 16, November 23, December 7, and December
14. All times will be 9-10:30 in the Belton High School Gym
Email Address: ________________________________________
Phone Number: _______________________________________
PIRATE PALS WILL LEARN BASKETBALL FUNDAMENTALS:
DEFENSE-SHOOTING-DRIBBLING-PASSING-REBOUNDINGSCREENING
Questions?
Contact Coach Batchelder
(Belton GBB Head Coach) [email protected]
Detach Registration Form & Mail to Coach Batchelder
107 W. Pirate Parkway, Belton, MO 64012
Or bring in as a walk up
Checks may be made out to: Belton Girls’ Basketball
I understand that neither the Belton schools nor Brad Batchelder and his
coaching staff provide neither medical insurance nor will either be held
responsible for medical expenses. I hereby authorize Brad Batchelder and
his coaching staff to act for me according to their best judgment in any
emergency situation requiring medical attention and hereby waive and
release Brad Batchelder and his coaching staff from any and all liability for
any injuries. I also certify that my child is medically and physically fit to
participate in the Pirate Pals program.
_____________________________________________________________
Parent / Guardian Signature
Date