David Douglas School District
Community Sports Registration
Girls Basketball
Grade 6
Registration nights will be:
December 15 at Alice Ott from 3:45 pm - 5:45 pm December 16 at Floyd Light from 4 pm - 6
pm. December 17 at Ron Russell from 4:15 pm - 6:15 pm. December 18 at District Office from
4:30 pm - 6:30 pm. December 19 at District Office from 7:30 am - 4 pm
The district office is located at 1500 SE 130th Ave
Name: _____________________________________ Home Phone: __________________________
School: _______________________ Grade: ____ Teacher: ________________________________
Address: __________________________________________ Zip: ___________
FEES: $50.00
REFUND POLICY: Refund requests must be made
in writing no later than 30 days from the first
scheduled game. Full refunds will be only issued
if the student has not played in a game. $10 will
be deducted for materials, handling, and uniform.
Insurance
Players need to either purchase school insurance or have family insurance
School insurance may be purchased at a minimal fee from your
school’s office. Medical insurance is a requirement for participation
and is the responsibility of the parent or guardian.
**JERSEYS**
Players will NOT be keeping their jerseys this year.
Players will be issued jerseys upon payment of
registration fee.
Players will RETURN their jersey immediately after
the last game of the season (please bring extra shirt to
wear home instead of jersey).
Lost or unreturned jerseys will be charged
$15 replacement fee
Student has _____ school insurance or
_____ family insurance
Physical
All players must have a physical.
Does your child have a medical condition and/or is your
child taking prescription medication that their coach
should be aware? If yes, please explain. (Attach if necessary)
Parents! Volunteer to Coach!
This program depends on volunteer coaches and offers
you a unique and enlightening opportunity to be involved
with your child, your child’s classmates, school, and
community! Experience in coaching is helpful but not
required!
____No ____YES __________________________________
Would you like to know more about coaching?
Head Coach ___ Asst. Coach ___ Other ___
The best way to reach you is by:
Emergency contact name:__________________________
Phone or email: __________________________________
Coaches must attend one approx. 2 hour coaching clinic
and pass a criminal history background check (no charge)
Emergency Phone (not home): ______________________
In the event of an emergency, David Douglas Community
Sports has my permission to transport my child to the
nearest medical facility for treatment.
_______________________________ ______________
Signature of parent/guardian
Date
School Use Only
Cash ( )
Check ( )
Physical ( )
Initials: __________
Still more questions? Contact David Petersen
at 503-261-8210
David Douglas Community Sports
Parental Code of Conduct
As a David Douglas Community Sports (DDCS) parent, you hereby pledge to
provide positive support, care, and encouragement for each child participating in
our league by following this code of conduct.
 I will encourage good sportsmanship by demonstrating positive support for
all children, managers and coaches (including those of opposing
teams). This applies to every game, practice, or any other DDCS event.
 I will encourage good sportsmanship by demonstrating positive support for
all referees, league officials, and other parents at every game and event.
 I will place the emotional and physical well-being of all children on all team
ahead of my personal desire to win.
 I will teach my child to treat all other players, coaches, referees, league
officials, and parents with respect.
 I promise to help my child enjoy DDCS by being respectful to all players,
coaches, referees, league officials, and parents.
 I will insist that all children play in a safe and healthy environment.
 I will demand a drug, alcohol, and tobacco-free environment for all
children and agree to assist by refraining from their use at all DDCS
games, practices, and events.
 I will remember that DDCS are for the children and not for adults.
 I will do all I can to make the game fun and safe for all the children.
 I understand that DDCS is a volunteer organization that needs parent
participation with coaching and refereeing and I will help out when I can.
 I understand that team rules have been established to enable the coaches
to effectively conduct the affairs of the team in accordance with DDCS
rules. I understand my child is subject to team rules.
 I understand that if or when I cannot follow these expectations, I may
be asked to leave the game or practice facility by DDCS staff.
I agree with the David Douglas Community Sports Parental Code of Conduct
AND
I understand that the David Douglas School District carries no athletic insurance
for Community Sports/Recreation programs and does not assume responsibility
for injuries sustained in practice or games. If insurance coverage for injuries is
desired, I recognize that such coverage is my responsibility as the
parent/guardian. I approve the participation of my child in Community
Sports/Recreation athletics and authorize the administration of essential first aid
when necessary.
Parent/Guardian: _________________________________________
Date: _________