7th-12th Grade SUMMER BASKETBALL
TEAM REGISTRATION ROSTER
TEAM NAME:_______________________________________________________
COACH’S NAME:__________________________________
CELL:___________________________________ HOME:____________________________________
E-MAIL:______________________________________________________
CIRCLE YOUR DIVISION BELOW:
BOYS JV
BOYS VARSITY
GIRLS JV
GIRLS VARSITY
NAME
ADDRESS
PHONE:
WAIVER
PAYMENT
SHIRT SIZE
Most of the players on this team will be in the __________th grade this fall.
Relative to other teams in this division, our team will be:
Strong
Average
Weak
Our preference would be to play our games in:
Chillicothe
Brookfield
Carrollton
Date(s), if any, we can not play on: __________________________________
Team(s), if any, we prefer not to play: ________________________________
GRAND RIVER AREA FAMILY YMCA
1725 LOCUST STREET
CHILLICOTHE, MO 64601
Phone: 660-646-6677
Fax: 660-646-5668
WWW.GRANDRIVERYMCA.ORG
Rev. 01/2014