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2018 Youth Basketball
This form is used for Roster Creation purposes and also serves as the waiver for participation. PAYMENT ON THE SEPARATE YMCA SYSTEM MUST ALSO TAKE PLACE FOR PARTICIPATION TO BE ALLOWED.

LAST name of child *
Your answer
FIRST name of child *
Your answer
Child's AGE as of December 1, 2018? 60-minute practices are held at the Superior YMCA on Thursdays at 6:00pm for 4-5 Division & 7:00pm for 6-7 Division. *
Has your child played basketball with us before *
CHILD's t-shirt size *
PARENT(s) name(s) *
Your answer
EMAIL of parent *
Your answer
Mailing address *
Your answer
Phone Number *
Your answer
School attending this fall? *
Each team is led by volunteer parent/coaches. Are you able to help coach your child's team? The Y will provide you a link for online training and a small packet with practice suggestions and teaching techniques. *
If YES to previous question: Have you coached youth sports in the past? (if NO to previous question, skip this and next question)
What size coaches' shirt?
I hereby give my permission and approval for the above-named child to participate in all Youth Basketball activities during the 2018 season. I assume all risks and hazards incidental to such participation, and I release the YMCA, supervisors, and coaches from any claim arising from an incident or injury to my child. I also understand that the my child's photo might be used for future promotional efforts and if I object, I must communicate these wishes in an email or in writing to Jon Reimer, the YMCA's Activities Director. By answering this question, this will serve as my digital signature. *
Have you already PAID the $30/$60 participation fee on the YMCA payment system? *
The Meet & Greet is scheduled for December 15. Specific times for each division will be posted, when available, at *
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