Saturdays Mornings
Dec 3rd – Jan 28th
*No program- Dec. 24th/31st
8:45am or 9:45am
Grades 1 & 2 Coed
Harriet Beecher Stowe Gym
Brunswick Residents Only
Brunswick Parks & Recreation Department
KIDS ON THE COURT
1ST & 2ND GRADE COED
Ins
1 2
3
4
st
&
Fee: $40
INSTRUCTIONAL BASKETBALL LEAGUE
ND
Grade Boys & Girls
- Weeks of Practices - proper instruction of “fun”damentals
- Weeks of Controlled Instructional Games
All Practices and Games at Harriet Beecher Stowe Gym
Saturday Mornings, 8:45 am or 9:45am for 7 weeks! Dec 3rd – Jan 28th
*No Program - December 24th & December 31st.
Each player will have a team, coach and team t-shirt!
The Parks and Recreation Department encourages individuals with disabilities to register for this program. Should
you desire further information, contact the Recreation Department at 725-6656. For a copy of our refund policy,
please visit our website at www.brunswickme.org/parkrec .
-------Detach here and return to the Brunswick Recreation Center, 220 Neptune Drive by November 23rd - -----
Brunswick Parks & Recreation Department
st
nd
Brunswick Residents Only
2016/17 1 & 2 Grade Kids on the Court Basketball League
Fee: $40.00
For Office Use
Date__________
Amt$_________
Computer 
8:45am 321007-01
9:45am 321007-02
Child’s Name______________________________________________________________
Address__________________________________________________________________
Town ________________________________________________Zip_________________
Date of Birth_______ Male  Female School________________________________________
Grade_________
Day Phone_________________ Evening Phone__________________ Email ___________________________
Person to call in case of emergency:
Name______________________________________________ Phone____________________
Each 50-min. time slot is limited to 32 children. Please circle your preferred time: 8:45 a.m. or 9:45 a.m.
As a parent, I give my child permission to participate in the Brunswick Parks and Recreation Department Kids on the Court 1st &
2nd Grade Basketball League. I understand that photographs taken of Parks and Recreation Programs may be used by the Parks
and Recreation Department for promoting programs, classes or events to include brochures, posters or
web page postings.
Signature of Parent/Guardian ________________________________________
Parent(s) Name (Please Print) ___________________________________________________
 Yes, I would like to volunteer coach with this program. Our staff will provide instruction at
practices and be on hand to help with controlled games
Name______________________________________ Day Phone________________________