CYO BASKETBALL TEAM REGISTRATION
School NAME:________________________________________
CYO Office:
x=yes o=no
HEAD COACH:
Online Agrmt._______
Bkgrnd Ch._________ E-Mail: Home Ph:
ASEP_____ CTP ____
Concussion________ Wk Ph:
Cell Ph:
Rev Oct 2011
Online Agrmt._______ ASST. COACH:
Bkgrnd Ch._________
ASEP_____ CTP ____ E-Mail: Home Ph:
Concussion________
Wk Ph:
Cell Ph:
Online Agrmt._______ INTERN COACH:
Bkgrnd Ch._________
E-Mail: Home Ph:
ASEP_____ CTP ____
Concussion________ Wk Ph:
Cell Ph:
High School Division:
Team Description: [ ] Majority strong players Blue
[ ] Few strong players Green
[ ] Not Overpowering Orange
[ ] Maj haven't played much Red
CYO Office
Add
Last Year's Record:
Won:_____Lost:____
League Last Year:
Blue [ ] Orange [ ]
Green [ ] Red [ ]
Boys Team [ ]
TEAM ROSTER:
Reg.
Online
9th /10th [ ] First
Name
Last
11th/12th [ ]
Players Returning from
Last Year:
All of the Team [ ]
Half of the Team [ ]
Other:_______________
I Prefer Team Placed in:
NBA Blue [ ] (Most Compet.)
NCAA Green [ ]
NAIA Orange [ ]
NIT Red [ ]
Girls Team [ ]
Grade
School
Attending
1
2
3
4
5
6
7
8
9
10
11
12
13
14
X
COACH SIGNATURE
Parish
Attending
DATE
In signing this form the Coach of the above named team certifies the player eligibility to be true. Further, failure to
turn the registration form and payment in by the designated date may result in the team not being registered to play
in the upcoming season. I understand the Commissions have final authority in team placement.
MAKE COPY FOR COACHES RECORDS AT TIME OF REGISTRATION