J
JJ
J
UNIOR
UNIOR UNIOR
UNIOR
J
JJ
J
EWISH
EWISH EWISH
EWISH
B
BB
B
ASKETBALL
ASKETBALL ASKETBALL
ASKETBALL
L
LL
L
EAGUE
EAGUEEAGUE
EAGUE
2018-2019
R
EGISTRATION
F
ORM
WEBSITE: www.JJBL.org
Official Use Only: Date Received________ Cash____ Check#_______ Amount$______ __
Parent/Guardian_______________________ ______Preferred Phone# ( )_______________
Parent/Guardian______________________________Secondary Phone# ( )________________
Primary Mailing Address______________________________City_________________Zip________
Cell Phone# ( )______________Preferred Email______________________________________
1) Player’s Full Name_____________________________ Email_____________________________
Male/Female New/Returning Date of Birth___/___/___ Grade______
2) Player’s Full Name_____________________________ Email_____________________________
Male/Female New/Returning Date of Birth___/___/___ Grade______
3) Player’s Full Name_____________________________ Email_____________________________
Male/Female New/Returning Date of Birth___/___/___ Grade______
Make Check Payable to “JJBL” - $140/per Child
Send to: Sonny Coslov, 1776 Paper Mill Road, Meadowbrook, PA 19046
**A Late Fee of $20 Will Be Imposed After 10/21/2018**
I/We, the undersigned parents or guardians of the above named player(s), hereby consent to the participation by the Player in the
Junior Jewish Basketball League (JJBL). We understand that such participation involves practices and games that will be played at
Abington Friends School, various Cheltenham School District facilities and other locations. I/We represent that there is a possibility of
physical injury to the Player during his/her participation in the League practices or games. I/We acknowledge that we have medical
coverage for the Player and will not look to the JJBL for the payment of any medical cost or claims including co-payments, coinsurance
or deductibles. I/We hereby release the JJBL, Abington Friends, Cheltenham School District, its directors, officers and employees from
any and all liability arising out of injury, damage or other claims of any kind suffered or incurred by the Player or by the undersigned
parents or guardians as the direct or indirect result of the Player's participation in the JJBL. Further, I/We understand that the
acceptance of the application and registration fee by the JJBL does not guarantee my/our child's participation in the league. The JJBL
reserves the right to return any application or any registration fee, and to suspend or terminate any player's participation/parental
involvement in the league when the JJBL determines, in its sole discretion that such actions are in the best interest of the JJBL. Further,
I/We understand that the registration fee for the Player is NOT refundable after the JJBL has held player evaluations. The JJBL
reserves the right to switch players in order to balance the league/division after the season has started.
____________________________________________________________ ______________________
Parent(s)/Guardian(s) Date
_____Scorekeeping
_____Head Coach Division _______________ Sun. 3/10/2019, 3 PM, Indiana Pacers
_____Assist. Coach Division _______________ _____76ers Ticket(s) @ $30 each = $______
_____Sponsor Team (Please submit separate check for $350.00)
Team Name________________________