Connecticut Dodgeball

Registration

Season ThreeSept. 25th to Nov. 20thFriday Nights

Season registration is closed

The Season Three roster is set. If you were given a late-entry code, enter it below to unlock the registration form.

Filling in for a missed night instead? Choose Sub registration above.

Website

Step 01

About you

First Name*

This is required.

Last Name*

This is required.

Email*

This is required.

Cell Phone*

This is required.

Date Of Birth*

This is required.

Step 02

Your sub spot

Subs fill in for a player who cannot make a night. Your team has to confirm your spot before you register, and the board approves every request. Each request covers one night at $10, and subs are limited to 3 nights per season.

Team you are subbing for*

Choose the team that confirmed your spot.

Player You Are Covering*

This is required.

Captain Or Rep Who Confirmed*

This is required.

Night you will sub* (pick one)

Pick a night.

Step 03

Payment

Preferred payment method*

VenmoCash

Choose a payment method.

Send $10 on Venmo to @ConnecticutDodgeball before your sub night. You will get a Venmo link after you submit.

Your Venmo username*

Enter your Venmo username.

Bring $10 in cash to your sub night and hand it to a board member before your game.

Step 04

Agreement

I agree to the Connecticut Dodgeball waiver and release of liability and the Code of Conduct. I understand I play at my own risk.

You must agree to register.

Type Your Full Legal Name As Your Signature*

This is required.

Must match the name above. Typing your full legal name is your legal electronic signature.

Questions about subbing: admin@connecticutdodgeball.com

Request received

Website

Step 01

About you

First Name*

This is required.

Last Name*

This is required.

Email*

This is required.

Cell Phone*

This is required.

Date Of Birth*

This is required.

Step 02

Pick your nights

Open gyms run Fridays from 7:00 to 9:00 PM at Mortensen Community Center in Newington. Pick as many nights as you like. It is $10 a night, or $8 for Newington residents.

Open gym dates* (pick one or more)

Pick at least one night.

Do you live in Newington?*

YesNo

Choose yes or no.

Step 03

Payment

Preferred payment method*

VenmoCash

Choose a payment method.

Send $10 on Venmo to @ConnecticutDodgeball before your first open gym. You will get a Venmo link after you submit.

Your Venmo username*

Enter your Venmo username.

Bring $10 in cash and pay at the door.

Step 04

Agreement

I agree to the Connecticut Dodgeball waiver and release of liability and the Code of Conduct. I understand I play at my own risk.

You must agree to sign up.

Type Your Full Legal Name As Your Signature*

This is required.

Must match the name above. Typing your full legal name is your legal electronic signature.

Questions about open gyms: admin@connecticutdodgeball.com

You are on the list

Website

Connecticut Dodgeball

Season Three Registration

Sept. 25th to Nov. 20thFormat: Foam Remix DraftFriday Nights

Time Left To Register:

How the season works

Get Drafted

Play Weekly

Win It All

Program Fee

$60Newington ResidentYour Rate

$70Non-ResidentYour Rate

Your rate is set by the address you enter below.

How to pay

Your spot is secured once payment is received. Pick Venmo or cash in Step 05.

Program fee: $60 for Newington residents, $70 for non-residents.

Venmo

Send to @ConnecticutDodgeball

By Wednesday, September 23 at 11:59 PM EST

Cash

Turn it in by Friday, September 25 at 7:00 PM

Season starts that night.

Step 01

Your Information

First Name*

Enter your first name.

M.I.

Last Name*

Enter your last name.

Gender*

Choose an option.

Date Of Birth*

Enter a valid date of birth as MM/DD/YYYY.

Email*

Enter a valid email address.

Street Address*

Enter your street address.

City*

Enter your city.

State*

Zip*

Enter your ZIP code.

Cell Phone*

Enter a 10 digit phone number.

Home Phone (optional)

Work Phone (optional)

Ext.

Step 02

Who Is Playing

One player per form. Signing up a friend or a partner too? Run through it again for them.

I am the one playing

Player First Name*

Enter the player’s first name.

Player Last Name*

Enter the player’s last name.

Player Gender*

Choose an option.

Player Date Of Birth*

Enter a valid date of birth as MM/DD/YYYY.

Step 03

Emergency Contacts

Newington requires two. Please do not list the player as their own contact.

Contact One Name*

Enter a name.

Relationship*

Enter a relationship.

Phone*

Enter a 10 digit phone number.

Contact Two Name*

Enter a name.

Relationship*

Enter a relationship.

Phone*

Enter a 10 digit phone number.

Step 04

Medical

Newington asks this for every participant. Share only what you are comfortable sharing.

Any medical concerns, allergies, or special needs we should know about?*

NoYes

Choose yes or no.

Please Describe*

0 of 300 characters. Space on Newington’s form is limited, so keep it brief.

Describe the concern.

Step 05

Payment

Choose how you will pay. Your spot is secured once payment is received.

New Player Referral Code (optional, new players only)

Preferred payment method*

VenmoCash

Choose a payment method.

Send $70 on Venmo to @ConnecticutDodgeball by Wednesday, September 23 at 11:59 PM EST. You will get a Venmo link after you submit.

Your Venmo username*

So we can match your payment to your registration and send you a request if we do not see it.

Enter your Venmo username.

Paying cash? Turn in $70 in cash by Friday, September 25 at 7:00 PM to play this season. Your spot is not secured until we have your payment.

Step 06

Waiver And Signature

Newington Parks and Recreation’s standard release, reproduced word for word.

Assumption Of Liability

Participation in the activity may involve risk or injury. As a parent, guardian, or participant, I am aware of these hazards and my ability to participate. I hereby agree to release, discharge, and hold harmless the Town of Newington, its employees, contracted instructors, and volunteers from the liabilities that may occur while participating in the activity.

During the COVID-19 pandemic, I also understand that I must adhere to all CDC, state, and local COVID-19 guidelines, including all social distancing, temperature checks, personal protective equipment requirements, and sanitation protocols. I acknowledge that there is a risk of transmission when in a group or class setting, even with personal protective equipment.

I understand that participation in any recreational or sports activity involves risk. I further understand that the Town of Newington does not provide accident/medical insurance for the program participants. In addition, I permit the participant to be treated by qualified medical personnel if the above-named parent, guardian, or emergency contact cannot be reached at the phone numbers provided.

The Parks and Recreation Department reserves the right to photograph program participants for publicity purposes. Please be aware that these photos are for Parks and Recreation use only and may be used in future catalogs, websites, social media, brochures, pamphlets, and/or flyers.

No refunds will be given after a participant has registered and paid for a program, except for medical reasons (illness or injury) which prohibit active participation in the program. Refund requests must be accompanied by a note from the participant’s physician. The amount refunded will be pro-rated to reflect the number of classes remaining at the time of request. A $20 processing fee is also required at the time of the refund.

I have read and agree to the release above, and I confirm I am 18 or older, or the parent or legal guardian of the participant.*

You must agree to the release to register.

Type Your Full Legal Name As Your Signature*

Must match the name you entered in Step 01. Typing your full legal name is your legal electronic signature and has the same effect as signing by hand.

Your typed signature must match your first and last name above.

Date

Questions about registration or payment? admin@connecticutdodgeball.com

Registration Received

Almost There

Thanks, friend. We have your details and we are submitting them to Newington Parks and Recreation for you. Your spot is secured once we receive your payment.

Send on Venmo. Pay @ConnecticutDodgeball by Wednesday, September 23 at 11:59 PM EST, then reply to the Venmo request with your name to confirm your spot.
Pay on Venmo
Check your email. We sent you a copy of what you signed. We will confirm your spot once your payment arrives.

Confirm your email. We just sent you a message. Open it and press the confirm button so we know you are a real person. Check your spam folder if you do not see it.
Bring in cash by Friday, September 25 at 7:00 PM. Cash payment is required to play this season.

Questions? admin@connecticutdodgeball.com

Play Hard. Be Cool. Throw Responsibly.

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Mortensen Community Center
200 Garfield Street
Newington, CT 06111

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