Summer Session 2011
YOUTH BASKETBALL LEAGUE
TEAM REGISTRATION
3RD-High School Grade Boys & Girls
Registration & fee due: 6/20/11
Games start: 6/27/11
TEAM NAME: _______________________________________________
GRADE:_____________________________________________ o Boys o Girls
Team Contact Information:
Name ____________________________________________________________________________________
Address __________________________________________________________________________________
City/State/Zip______________________________________________________________________________
Ph. ( ________ )__________________ Email Address___________________________________________
CELL PHONE: (_______) ____________________
*Each player must have a parent sign the roster/release form prior to playing.
* Games played Mondays & Tuesdays.
*10 game guarantee.
*Team registration fee $425.00
IMPORTANT NOTE: Enrollment is limited. Full and final payment is due at the time of registration.
TOTAL PAYMENT: ______________________ DATE RECEIVED:______________________
SEND WITH ROSTER AND FULL PAYMENT TO:
All Star Sports Arena
1906 Cambridge St / Springdale, AR 72764
For more information call: Oscar Sealy (479) 502-5077 or Kendall Spencer (479) 713-0853 Basketball@allstarsportsarena.com
Kendall.soccer@yahoo.com
Allstarsportsarena.com
ROSTER
(This roster is not due with the registration form. The roster must be complete and submitted prior to the first game. Additional players can be added once the season begins, but a legal guardian must read the release and sign the roster prior to the player playing.)
TEAM NAME: ___________________________ AGE GROUP: _____________ BOYS OR GIRLS
Parent/Guardian release: This is to certify that my son/daughter has permission to participate in any and all
basketball activities. I assume all risks and hazards incidental to such participation, and I do hereby agree
to hold harmless the staff of the All Star Sports Arena from any and all claims arising out of any injury to my child. Furthermore, this verifies that the player is up to date with his/her immunizations and is able to participate in all soccer activities. In the event of injury my permission is granted for treatment as required at the nearest medical treatment facility.
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PLAYER NAME |
BIRTHDATE |
GUARDIAN SIGNATURE |
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Please submit your roster prior to your first game.
