FWARC B&G Club Registration Form

P.O. Box 44149 Fort Washington, MD 20749 | Telephone: 301-292-3978

REFUND POLICY:
1. ONCE YOUR CHILD HAS BEEN ISSUED A UNIFORM, YOU CANNOT RECEIVE A REFUND.
2. IF WE HAVE NOT PAID MEMBERSHIP DUES TO PRINCE GEORGE'S COUNTY BGC, THEN YOU WILL BE ENTITLED TO A FULL REFUND ; OHTERWISE, YOUR REFUND WILL BE THE REGISTRATION PAYMENT MINUS THE PGCBGC MEMBERSHIP FEE.

Instructions: Complete the Form; Click on the [ Send ] button at the bottom of the form to submit.
NOTE: YOU WILL STILL NEED TO SUBMIT PAYMENT BEFORE YOUR CHILD IS REGISTERED. YOU CAN SUBMIT YOUR PAYMENT TO THE ADDRESS ABOVE OR PAY IN PERSON. WE ARE LOCATED AT 12500 Fort Washington Road, Fort Washington, MD in the Potomac Landing Community Center.

Child Information:

Date:	Sport:
Last:	First:	MI:	DOB:
Last:	First:	MI:	DOB:

Parent or Guardian Information:

First:		Last:
Address:
City:
e-Mail:

Phone-H:

Phone-W:

Phone-C:

Volunteer:

For What?

Days Available:

Mon Tue Wed Thu Fri Sat Sun

Cost:

Basketball - $85, Basketball Clinic - $35, Baseball - $105, Baseball (Babe Ruth) -$135, Coach-Pitch - $105, T-Ball - $105, Softball - $85, Cheerleading - $85, Gymnastics - $180, Soccer - $75, Football - $125 (early registration discount available. All players must be weighed by the PGCBGC Registrar or a FWARC Officer

Registration Requirements: PAYMENT OF FEE, COPY OF BIRTH CERTIFICATE, WALLET-SIZE PHOTO,PGC WHITE CARD NO.3, AND PGC YELLOW ID CARD

For Office Use Only: Method of Payment

Cash _____

Check _____

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