LISLE PARK DISTRICT YOUTH BASKETBALL PLAYER INFORMATION FORM Chose Division: nd
th
1/2 Boys
5/6th Boys
3/4 Boys 1/3rd Girls
4/5th Girls
Player’s Name
7/8th Boys 6/8th Girls
Gender:
Parents/Guardian Names______________________________________ Address ____________________________________________________ City ___________________Email (req) Home Phone _______________ Cell Phone Grade ___________
Date of Birth
Height___________
School Name _________________________ Any Physical Problems?
Yes ______
No _____
If yes, please explain __________________________________________ IF YOU DO NOT NEED A JERSEY BECAUSE YOU WILL BE USING ONE FROM LAST YEAR, CHECK THIS BOX Jersey Size (circle one) YS
YM
YL
AS
AM
AL
AXL
TEAM REQUESTS WILL NOT BE TAKEN. Is there a day your child can’t practice?
I WOULD LIKE TO HELP COACH (please include your first name): ____________________
Coach (no experience necessary)
____________________
Assistant Coach
2 coaches per team maximum….One head and one assistant