FOR YOUTH DEVELOPMENT
FOR HEALTHY LIVING
FOR SOCIAL RESPONSIBILITY
Adult 3x3 Basketball League: Fall 2013
Season: Sundays, November 3rd- December 15th
Location: YMCA gym
Registration Deadline: Sunday, October 27th
League Information:
Games played on Sunday afternoons
Round Robin League Play
Must have at least one female on team roster who plays in each game.
There is a minimum of 3 players on a team with a maximum of 5.
Co-Ed Leagues: There must be one female on the court at all times.
A participant waiver must be completed and signed by each individual player. These waivers must
accompany the team registration.
Full Team Payment must accompany roster for registration to be completed.
Fees
Members $25
Non- Members $45
*Financial Assistance is available to those who qualify*
Please register online at www.scymca.org or in person at the YMCA.
Team Information
Team Name:
Captain Name:
Address:
Phone Number:
Email:
Co-Ed or Men’s (Circle One)
Name
Email Address
Phone Number
1
2
3
4
5
1530 NORTHWAY DR · (320) 253-2664 · WWW.SCYMCA.COM
FOR YOUTH DEVELOPMENT
FOR HEALTHY LIVING
FOR SOCIAL RESPONSIBILITY
Adult 3x3 Basketball Registration Form
**Completed waiver must be filled out for each player on the team and returned with the team’s registration and payment.**
Player Information
Participant Name:
Email Contact:
Gender:
Emergency Contact:
Home Phone:
Age:
DOB:
Home Phone:
Cell Phone:
Mailing Address:
Cell Phone:
Work Phone:
City:
State:
Zip:
Participation Release:
I release the St. Cloud Area Family YMCA, its coaches and officials from all claims of injury which may be
sustained by above named participant while participating in any YMCA sponsored activity, whether caused
by the negligence of the YMCA or otherwise. If medical attention is required I give my permission for such
medical care. I also agree to follow the St. Cloud Area Family YMCA’s sportsmanship standards and
guidelines. By signing below, I give the YMCA permission to use photographs or videos of the above named
participant in its promotional/educational materials.
Player Signature:
Date:
1530 NORTHWAY DR · (320) 253-2664 · WWW.SCYMCA.COM