DIOCESE OF METUCHEN CYM BASKETBALL LEAGUE: OFFICE OF YOUTH MINISTRY 732.562-1018 FAX
2016/2017 SEASON OFFICIAL TEAM ROSTER *Important* It is the responsibility of each Organization Representative, Athletic Director, and Parish Pastoral Staffs to ENSURE that every coach or adult volunteer in this league has complied with and are up to date with the Diocesan Child Protection Policies including Criminal History Background Checks and Virtus: Protecting God’s Children Training. Teams not in compliance are not eligible for league play. Thank you for your cooperation and your concern for the safety of our children! The deadline for all signed rosters and league payments is due at the Diocese of Metuchen before November 1, 2016. Game matrix scheduling will begin shortly after. Late rosters, teams with late payments, or teams not in compliance with Diocesan League bylaws and regulations will NOT BE SCHEDULED into the game matrix for season play.
Division: School: ________________ Parish: _________________ City: ________________ Circle One: Boys Or Girls Level Circle One: 4th Grade 5/6 Grade 7/8 Grade High school Name of Organization Site Representative: _____________________________________________________________________
Coach ___________________________ Assistant Coach: ____________________________ PLAYER NAME UNIFORM # 1._____________________________________________________________________ _____________ 2._____________________________________________________________________ _____________ 3._____________________________________________________________________ _____________ 4._____________________________________________________________________ _____________ 5._____________________________________________________________________ _____________ 6._____________________________________________________________________ _____________ 7._____________________________________________________________________ _____________ 8._____________________________________________________________________ _____________ 9._____________________________________________________________________ _____________ 10.____________________________________________________________________ _____________ 11.____________________________________________________________________ _____________ 12____________________________________________________________________ _____________ 13.____________________________________________________________________ _____________ 14.____________________________________________________________________ _____________ 15._________________________________________________________________________________ TOTAL NUMBER OF PLAYERS ON TEAM: _________ Parish Athletic Director or Organization Representative Signature:_______________________________ Every player on this roster must be in the grade(s) and the school (or parish if a parish team) for which team is entered. Do not sign this form unless the appropriate level is circled. Unless roster is attached to approved eligibility waivers all players on all teams are required to be actively enrolled in Catholic School or a religious education program (CCD) to be eligible to play in the Diocesan league. Copies of rosters will be sent to Parish Religious Education Directors or stated school for verification if necessary.
Signature____________________________________Print:_____________________________Date_________ Parish/School Basketball Director I certify all of the information is correct.