3RD-8TH GRADE YOUNG AMERICAN BASKETBALL LEAGUE: Registr ation will begin for the 2016 3r d thr ough 8th
grade Young American Basketball League October 1, 2015. This program is designed to promote good sportsmanship and teamwork
while teaching the rules and basic fundamentals of the game of basketball. Boys and girls are welcome to participate in this program.
Teams are divided based on gender and grade level. Practices are held week nights at Mead Elementary and Mead Middle School.
Games are played on Saturdays through the City of Longmont YAB league. We are dependent on volunteers for coaches! Contact
Janet at 970-535-4477 or [email protected] if you are interested in coaching.
FEES:
$80 FOR PARTICIPANTS WITHIN MEAD SCHOOL ATTENDANCE AREA
$90 FOR PARTICIPANTS OUTSIDE OF MEAD ATTENDANCE AREA
$10 LATE FEE FOR ALL REGISTRATIONS RECEIVED AFTER 11/16/2015
PRACTICES begin the week of December 12th and will be held at Mead Elementary School and Mead Middle School
GAMES begin January 7, 2017 and will be played at locations through the City of Longmont League
3rd through 8th Grade Young American Basketball League Registration Form
Please print neatly and return form with payment to Town of Mead 441 Third Street
Participant Information:
Name: _______________________________________________________________ Gender: ________Grade: ________ School: _________________________________________
Address: ____________________________________________________________________________________________________________________________________________________
Phone: ________________________________________________________ Email Address: ___________________________________________________________________________
Parent Name: __________________________________________________________________ Cell Phone: ______________________________________________________________
Emergency Contact: ______________________________________________________________ Phone: ________________________________________________________________
Insurance Company Name: _______________________________________________________ Phone number: ____________________________________________________
Shirt size: (shirts this year will be a standard 100% cotton t-shirt)
_______ Youth Small ____ Youth Medium ____Youth Large ___Adult Small ____Adult Medium ____Adult Large _____ Adult Extra Large
Would you be interested in coaching a team? _____Yes _____ No
Interested Coaches ONLY! Please list the preferred day and time of practice:
_______________________________________________________________________________________________________________________________________________________________
Coach/team preference /practice time preference (specific coaches/ teams and practice times can’t be guaranteed as teams are a mix of two grades,
both genders and practices are scheduled at coaches preference):
_______________________________________________________________________________________________________________________________________________________________
Make checks payable to Town of Mead
I give my permission for my child to be photographed for and participate in media coverage.
Yes______ No ______(check one)
Release-Town of Mead Physical Activities.
I give my permission for ____________________________________________to participate in this activity. I acknowledge that participation in this activity involves
some risk of injury or death, and I assume these risks. I further acknowledge that the participant is physically capable of performing in this activity. I
release and hold harmless the Town of Mead and its personnel from any liability for any injury or death arising from participation in this activity.
Signature of Parent/Guardian:______________________________________________________________________________________Date: _____________