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Player's Name: <br /> <br />Parent/Guardian Name: <br /> <br />Phone: (H) _(W) <br /> <br />l Registration for Elk River Boys Youth Basketball 2001-20021 <br /> <br /> Hotline: (763) 856-5192 <br />Grade Level 2001-2002: <br />Address <br />e-mail: <br /> <br />School Attending: <br />City Zip <br />Height: Weight: <br /> <br />We Need your help: Every year some really fantastic people have volunteered themselves and their time in helping us with our program. Boys Youth <br /> Basketball is a volunteer program and without your help we cannot function. Please ( X ) the areas that you can help, <br /> <br />( ) Coach ( ) Assistant Coach ( ) Referee Games ( ) Volunteering for tournament help <br /> <br />( ) I am interested in serving on the ERBYB Board ( ) I am interested in sponsoring a team .. Please contact me ($100.00 sponsor fee) <br /> <br />Please indicate a day and time (if any) that your son CANNOT practice: <br /> <br />Please indicate any health/medical or other concerns that your son may have that the coach should be aware of: <br /> <br />Played Basketball before: Yes / No I am interested in trying out for a basketball travel team Yes / No <br /> <br />Special request (for 1st and 2nd grade only): (Buddies, Friends, Rides, etc): <br /> <br />Make Check payable to: ERBYB Mail to: ERBYB Box 541, Elk River, MN 55330 1st & 2nd 3rd & 4th 5th & 6th 7th-8th-9th <br />All House and Travel league players pay this amount (Due by September 22th, 2000)** $ 60.00 $ 65.00 $ 70.00 $ 75.00 <br />Additional fees for Travel league (This balance must be paid at Travel tryout. Check is held and Travel fee refunded if player <br />does not make travel team). For travel players, there may be an additional cost for uniform of approximately $40.00. $100.00 $ 95.00 <br /> <br />** Registration doses September 22~ . All registrations received after that date are put on a waiting list. A $15.00 late fee will be assessed if an opening occurs. <br /> <br />I realize that by granting my son permission to play Youth Basketball. I will not hold the ERBYB or anyone associated with the League <br />responsible for any injuries incurred to/by my son. I release the ERBYB of liability in such a case. <br /> <br />X <br /> <br />(Signed by Parent or Guardian) <br /> <br />Date <br /> <br />only: Amounl' # ....... /(;ash I)a~¢ <br /> <br />Olher ]nforma6on: <br /> <br /> <br />