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EDWARDSVILLE
YMCA The
Edwardsville YMCA will be offering a Spring Boys' Youth Basketball
League for all boys in the 3rd through 8th grades. This is a recreational
league for all boys regardless of ability level. There will be seven
weeks of game play. |
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| Players' name: | |||
| Birth Date: | Age: | ||
| Address: | City: | ||
| State: | Zip: | ||
| Phone: | Sex: M - F | ||
| School Attending this year: | Grade: | ||
| Parent Name: | Email: | ||
| Did applicant play in last year's YMCA Youth Basketball League? Y - N | |||
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Ability
level/knowledge of basketball: Rating on a 1-5 point system (1=never
play; 5 = always play) |
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| YMCA Member? Y - N | Shirt Size (circle one): | Youth: M - S | Adult: S - M - L - XL - XXL |
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Person
to notify in case of emergency:
Name: |
Phone:
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Will
a parent(s) be willing to volunteer as a coach? Y - N
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If
you marked yes, please write parent(s) name(s):
Name(s): |
Phone:
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Participation Agreement: I agree to my child's participation in the YMCA basketball program, and that he will comply with all league rules and regulations. I further agree that I will not hold the YMCA, the league, its sponsors, or facility owners responsible in case of accident or injury. I fully understand that no accident insurance is provided and that I am responsible for such coverage if so desired. Parent/Guardian Signature:_______________________________ Date:_____________ |
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As a parent/guardian of a child that is participating in the Edwardsville YMCA Boys' Youth Basketball program, I promise that I will encourage my child to follow the YMCA Sports Philosophy, and as a parent/guardian will honor the YMCA Sports Philosophy throughout the Boys' Basketball season. Parent/Guardian Signature:_______________________________ Date:_____________ |
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Total fee: _______ Date Paid: _______ Receipt #: _______ Staff initials: _______ |
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