Author: Ziev, Francine

Youth
basketball
league
YMCA of Selma-Dallas County
Youth Basketball League
The YMCA of Selma-Dallas County Youth Basketball League teaches children grades K-6th the fundamentals and basics of basketball while also exposing kids to team-building and mentorship. We are committed to teaching the fundamentals of basketball, while reinforcing the importance of exercise and team bonding.
For more information about our YBL Program, visit us online at www.ymcaofselma.org/youth-basketball
Registration Begins: Tuesday, October 1st
Important Dates:
Registration: October 1st - October 31st
Parent Meeting: November 3rd │ 5:30pm
Coaches Meeting: November 4th | 5:30 pm
Games Begin: Saturday, January 10th
Costs:
$65.00 for Members
$75.00 for Non-Members
For more information contact Member Services at 334-874-9622

YMCA of Selma-Dallas County │ ymcaofselma.org

YMCA of Selma-Dallas County
Youth Basketball Registration Form
Player’s Name:
Address:
City: State: Zip Code:
School Grade:
Gender: Age: Birthdate: / /
Email:
Mother’s Name: Cell Phone:
Father’s Name: Cell Phone:
Grade Level:
Please indicate the grade your child is currently in.
K-2nd Grade 3rd - 4th Grade 5th-6th Grade
Jersey Size:
Please indicate the size needed: If in doubt, please order the larger size!
Youth Small Youth Medium Youth Large
Adult Small Adult Medium Adult Large Adult XL
Volunteers:
As a parent, would you like to participate in the program as a volunteer?
*MANDATORY COACHES MEETING – Tuesday, Nov. 4th @ 5:30pm
Coach Asst. Coach Other: (Score keeping, Refereeing, Drills Coach, etc.)
Volunteer’s Name:
Home Phone: Cell Phone:
Email:
Sponsorship:
My business is interested in sponsoring a team: Business Name:
Registration Fees: YMCA Members: [$65.00] Non-Members: [$75.00]
Program Waiver :
Participant or guardian assumes all risks of injury arising out of his or her presence on or about the YMCA premises, use or intended use of equipment and facilities, or his or her participation in the activities of the Selma-Dallas County YMCA, an Alabama chartered not for profit corporation and does hereby for himself, herself, heirs, executors and administrators waive, release, and agree to hold free from all claims for damages the Selma-Dallas County YMCA and its respective officers, directors, Trustees, Board of Directors, members, employees, or agents. I hereby allow the YMCA to take pictures (still or video) of myself and/or my children and grant permission for these images to be used in YMCA publications, presentations, publicity, or promotions. I have answered all above questions accurately, and declare myself/family to be physically sound, having medical approval to engage in YMCA activities, have read the information above agreeing for myself and as a chosen representative for my family to the policies and procedures of the Selma-Dallas County YMCA.
Parent/Guardian Date
YMCA Staff Member
Date Received: Amount: Information Sheet: Staff Initial
Registration Deadline: Tuesday October 31st