Boys & Girls Clubs of Greater San Diego Encanto Branch

6785 Imperial Avenue San Diego, CA 92114

619-263-6407

jbarajas@sdyouth.org

Encanto Dodgeball League

Game Schedule

Date→

Time↓

Tuesday

4/11/2017

Thursday

4/13/2017

Tuesday

4/18/2017

Thursday

4/20/2017

Tuesday

4/25/2017

5:00PM-

5:30PM

Team Creations Intro to Dodgeball Dodgy Birds

v Dirty Dodgers

Dodgy Birds

v The Dodging Donuts

Dodgy Birds

v The Dodgefathers

5:30PM-

6:00PM

Team Creations Intro to Dodgeball The Dodging Donuts

V The Dodgefathers

Dirty Dodgers

v The Dodgefathers

Dirty Dodgers

v The Dodging Donuts

Thursday

4/27/2017

Tuesday

5/2/2017

Thursday

5/4/2017

Tuesday

5/9/2017

Thursday

5/11/2017

5:00PM-

5:30PM

Dodgy Birds

v Dirty Dodgers

Dodgy Birds

v The Dodging Donuts

Dodgy Birds

v The Dodgefathers

Single Elimination

Bracket

? v ?

Single Elimination

Bracket

? v ?

5:30PM-

6:00PM

The Dodging Donuts

v The Dodgefathers

Dirty Dodgers

v The Dodgefathers

Dirty Dodgers

v The Dodging Donuts

-------------- --------------

Tuesday

5/16/2016

5:00PM-

5:30PM

Finals

? v ?

Encanto Branch Sports Leagues

Membership #

PLEASE PRINT

Sport Season (Circle One): Basketball|Dodgeball|Soccer|Other: New or Renewal (Circle One)

Birth Date: Height: Gender: M/F Grade: Age:

Jersey Size: YS/YM/YL/AS/AM/AL

Registrant Last Name: Registrant First Name:

Address: City: Zip:

Parent/Guardian: Business Phone:

Address: City: Zip:

Phone Number: E-Mail:

Parent/Guardian: Business Phone:

Address: City: Zip:

Phone Number: E-Mail:

List any medical problems players has:

In case of emergency: Phone Number:

Doctor: Hospital/Clinic: Phone Number:

Parental Support: We ask for active participation from all parents in our program. Circle area(s) in which you would like to help.

Coach Asst. Coach Clock Scorekeeping

IMPORTANT: I the parent/guardian of the registrant, a minor, agree that the registrant and I will abide by the rules of the Boys &

Girls Clubs of Greater San Diego – Encanto Branch Sports Leagues. Recognizing the possiblity of physical injury associated with all

sports and in consideration for the Boys & Girls Club of Greater San Diego, accepting the registrant for its athletic programs, I hereby

release, discharge and/or otherwise indemnify the Boys & Girls Clubs of Greater San Diego, its Board of Directos, staff and

volunteers against any claim by or on behalf of the registrant as a result of the registrant’s participation in the program.

Parent/Guardian Name: Signature: Date:

CONSENT FOR MEDICAL TREATMENT: As the parent or legal guardian of the above named player, I hereby give my consent for

emergency medical care presecribed by a duty licensed doctor or medicine or doctor of dentistry. This care may be given under

whatever circumstances are necessary to preserve the life, limb or well being of my dependent.

Parent/Guardian Name: Signature: Date:

Comments: