2012 Summer Basketball Registration Form

Decatur-Adams County Parks & Recreation Dept.

Registration Sheet for Thursday 5 Man 2012 Summer League

Registration Begins: May 8, 2012

Deadline to Register: May 18, 2012

Pick up Schedules: May 25, 2012

League Runs: May 31, 2012 - July 19 (with a seeded tournament to follow)

To Register you will need to go to the Park and Recreation Office located at 231 E. Monroe St.

Registration Fee: $60.00 - due at time of registration

Games will be played at the Northward Park -- across from Decatur City Pool

Captain's Name: ___________________________________

Address: _________________________________________ State/Zip: ____________

Phone Number: ___________________(home) _____________________(cell)

Team Name: ________________________________________________

Team Roster

(YOUR TEAM ROSTER MAY CONSIST OF 10 PLAYERS)

(Open to players who are incoming High School Freshman through adult)

All players must be Adams County residents or are employed in Adams County.

Captain _______________________Address _______________________Phone #___________Age ____

Player 1 _______________________Address _______________________Phone # ___________Age ____

Player 2 _______________________Address _______________________Phone # ___________Age ____

Player 3_______________________Address _______________________Phone # ___________Age ____

Player 4_______________________Address _______________________Phone # ___________Age ____

Player 5 _______________________Address _______________________Phone # ___________Age ____

Player 6 _______________________Address _______________________Phone # ___________Age ____

Player 7 _______________________Address _______________________Phone # ___________Age ____

Player 8_______________________Address _______________________Phone # ___________Age ____

Player 9 _______________________Address _______________________Phone # ___________Age ____

 

(ANY PLAYER WHO IS NOT ON YOUR ROSTER WILL NOT BE ELIGIBLE TO PLAY IN THIS LEAGUE)

I have read and understand the rules of this league. I will inform my team of these rules.

I also will maintain good sportsmanship and expect a positive attitude from my team during competition.

Captain's Signature ___________________________________________  Date ____________________