BUDDIES WANTED FOR CHALLENGER BASKETBALL 2018 Jackson Township Commission for the Disabled/Handicapped is looking for volunteers to assist challenged youth and young adults on the basketball court. No experience necessary….only a desire to make a difference in someone’s life! Enhance your college resume! Have fun! Be rewarded with smiles! SATURDAYS – January 6 to February 24 FROM: 9:00 am to 11:00 am Crawford Rodriquez Gymnasium

FILL OUT THE FORM BELOW AND MAIL OR BRING TO: JTCD/H, 45 DON CONNOR BLVD., JACKSON, NJ 08527 OR CALL 732-928-3334 DETACH AT THE LINE AND RETURN

Name______________________________________DOB_________Grade_____________ Address________________________________________Phone______________________ Email_______________________________________________________________________

I hereby give permission for my son/daughter to participate in the above program. I hereby release the Township of Jackson from any and all liability from injuries which may occur to my child from participating in this program. Parent/Guardian Signature________________________________________________________ Health Issues/Medication_____________________________________Allergies______________ Emergency Contact_______________________________________Phone_____________________

PLEASE WEAR APPROPRIATE FOOTWEAR! NO FLIP FLOPS, PLEASE!!!

Basketball Buddy 2018