2016 CYO Basketball Player Registration Form - Please Print all information
Team Parish/Organization: ___________________________________ Circle one:
Level (circle one):
Boys
Girls
Grammar
JV
Varsity
Player’s Name: ____________________________________ Birthdate: ______________ Age as of 7/1/16:__________
Player’s Address:______________________________________________________________________________________
Player Height: _____
Check which applies:
____ Player Attends School.
School _____________________________________
Player Weight: _________
Grade__________
____*Player is a GED student
____*Player is Home Schooled
*Per CYO Rule 4, written verification must be attached for any GED or Home Schooled student.
Check which applies:
___*Player’s family is registered with a Catholic Parish as of 9/1/16. Parish registered ________________________________
*Per CYO Rule 4, if registered parish is different from team parish, Parish Verification Form on back must be completed.
___ Player’s family is Catholic but not registered at a Parish
___ Player’s family is not Catholic
Insurance Confirmation: I am aware that my child may be injured while participating in the BC CYO Basketball program. Any costs
associated with an injury sustained by my child while participating in the BC CYO basketball program are my responsibility. The player
registered on this form has medical insurance, which is mandatory for participation in BC CYO basketball. I am responsible for
immediately informing my child’s coach of any changes to the information provided on this form.
Media Consent: I hereby give consent to the BC CYO to use any photos, quotes or images that reflect my child’s/family image. I will not
hold BC CYO responsible for any misrepresentation by the media or mistakes appearing in printed or electronic media.
I understand that any false information or forgeries will result in the player’s dismissal from the program.
Parent (or Legal Guardian) Name (Print):__________________________________ Phone:______________________
Address: _______________________________________________ Place of Employment:______________________
Relationship to Player: _____________________________________Email:__________________________________
Signature______________________________________________ Date: ____________________________
School Verification (9th-12th grade students only): This portion must be completed and signed by a school
administrator (principal, vice principal, guidance counselor) at the school where the player is registered.
I certify that ____________________________________ (player’s name) is considered an active and
registered student who is attending school on a regular basis. This student is NOT currently under any
type of in or out of school suspension.
Administrator’s Name (print):___________________________ Signature: __________________________
Position of School Administrator: _________________________________________ Date: ______________
Moderator: I have reviewed the information on this form and, to the best of my knowledge, it is true. I have a copy of the player’s birth
certificate and Emergency Care Information on file. Any false information or forgeries will result in the player’s dismissal from the program
and the forfeit of games per CYO Rules.
Parish Moderator’s Signature: _________________________________________ Date: _____________________
OVER
Parents and Players:
2016 CYO Basketball Rules and Forms can be found at
www.leaguelineup.com/bccyo
Call 584-7800 x431 or email [email protected] if you have questions or need assistance.
Rule highlights. Please see complete rules on website for detailed clarification.








All Technical fouls will be reviewed by CYO. If a Player is given a Disciplinary Technical in a game, Player must meet
with Catholic Charities Review Panel before participating in any CYO sanctioned activity.Disciplinary action may range
from verbal warning to expulsion from League.
A player who reached his/her 19th birthday prior to July 1, 2016 is ineligible. A player who reached his/her 15th birthday
prior to July 1, 2016 may not play in the Modified league.
A player must be an officially enrolled student (Middle or High School) and must provide documentation (9th-12th
graders), signed by a school official, stating that he/she is attending school on a regular basis (see School Verification
section on front).
GED students – Must be enrolled in a school GED program that runs during the CYO basketball season. Player must
provide a letter from the school stating the start/end dates of the program, as well as GED administration contact
information. GED students’ attendance must remain in good standing and their attendance will be spot checked.
Home-schooled students – Must provide documentation that the player is home schooled and has maintained applicable
state standards to appropriate grade level and their attendance will be spot checked.
Suspended students – No player will be allowed to dress for a game while serving an in or out of school suspension.
A member of a school basketball team may not play CYO basketball.
If your parish is fielding a team, you must play for your parish.
Parish Verification Form
PARENTS: If your player is a registered parishioner of a parish other than the team parish listed on the front of this
form, please have the following completed at your home parish office in compliance with
2016 CYO Basketball Rule 4-1:
Parish Office: Please verify the following:
_____________________________________ is a registered parishioner of
Player’s Name
__________________________________ as of ______________________________
Parish Name
Date
_____________________________________
Name of Parish Official
________________________________
Signature
_____________________________________
Contact Phone Number
________________________________
Date