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Boys & Girls Clubs of Greater San Diego Encanto Branch
6785 Imperial Avenue San Diego, CA 92114
619-263-6407
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: