Prairie du Chien
Open to Boys and Girls 1st – 4th Grades
by Southwest Collision Center
Join the in-house youth hoops program with emphasis on participation,
learning basics, and most importantly having fun!
*Note: Practice dates might change due to high school game schedule!
All 3rd & 4th Grade practices will be on Monday and Thursdays on the following
dates: November 13, 16, 20, 27, 30, December 4, 7, 11, 14, 18, 21, 28
3rd & 4th Grades (Boys practice Mondays 6 – 7 p.m. and Thursdays 7 – 8 p.m.)
(Girls practice Mondays 7 – 8 p.m. and Thursdays 6 – 7 p.m.)
All 1st & 2nd Grade practices will be on Wednesdays from 5 – 6 p.m.
on the following dates: November 15, 22, 29, December 6, 13, 20, 27
Saturday game dates for both Boys & Girls at Hoff man Hall:
December 2, 9, 16, 23, 30
Program fee: PDC Resident $20.00/Non-Resident $30.00. Payable to City of Prairie du Chien.
For additional information please call (608) 326-7207. Deadline November 8.
Activity Registration Form
Send to City of Prairie du Chien, 214 E. Blackhawk Street or drop off
to Prairie du Chien City Hall or online at http://pdc.recdesk.com/recdeskportal
Must pre-register by November 8th.
Age: Male _____________Female _____________ Grade _________________________ Phone ___________________________________________ Site _________________________________________
T-shirt size (circle) YS YM YL AS AM AL
I hereby understand that to participate in the above stated program like most programs similar it may have some inherent de-
gree of risk involved. Participants must assume full responsibility for personnel injury incurred while taking part in the activi-
ties. No accident insurance is provided through the city of Prairie du Chien. Please list any special considerations we should be
informed of (medicines, disabilities, etc.)
❑ Please check box if you are interested in instructing part-time.
Parent/Guardian Signature: _______________________________________________ Date: _____________________
Please inform us of any allergic or health issues ___________________________________________________________