Oakview Elementary 1st & 2nd Grade Wiffle Ball Registration Please enable JavaScript in your browser to complete this form.Student's Name *FirstLastGender *BoyGirlGrade *Choose Grade1st2nd3rd4th5th6thDate of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Parent / Guardian Name *FirstLastPhone *Email *Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeList of Medical Conditions / Concerns / MedicationsT-Shirt Size *Choose a sizeYouth SmallYouth MediumYouth LargeYouth X-LargeAdult SmallAdult MediumAdult LargeAdult X-Large Liability Waiver: I, the parent/legal guardian of the above named child, give my permission for the participation in any and all of the activities of the Centralia Youth Basketball program. I realize no insurance is provided for the participant and will assume any and all risks and hazards incidental to the conduct of the activities, and financial responsibility for any and all costs relating to any accident or injury that might occur while participating in the program. I do further release, absolve, indemnify and hold harmless the Centralia School District, their agents, employees, volunteers or sponsors. In consideration of the privilege to distribute materials, the Centralia School District shall be held harmless from any cause of action filed in any court of administrative tribunal arising out of the distribution of these materials, including costs, attorney’s fees and judgments or awards. Furthermore, I give my son/daughter permissions to receive treatment of an injury in case of emergency by any physician or hospital designated by a school district official(s) unless notified otherwise in writing. By checking this box, I agree to the terms above. *I AgreeSubmit