2022-23† TRI-COUNTY BOYS BASKETBALL LEAGUE ROSTER

TEAM NAME:

K-1ST GRADE

MONDAY NIGHTS

4th GRADE††

SILVER†† or† GOLD

2nd GRADE†

5th GRADE†† BRONZE†† or†† SILVER†† or†† GOLD

HEAD COACH:

AST. COACH:

3rd GRADE

6th GRADE†† BRONZE†† or†† SILVER†† or†† GOLD

ADDRESS:

ADDRESS:

DO YOU & YOUR AST. CHECK E-MAILS DAILY?†

 

HEAD COACH=††††††††††††††††††††††††† AST. COACH=

CITY/ST/ZIP

CITY/ST/ZIP

CELL PHONE:

CELL PHONE:

DO YOU & YOUR AST. TEXT?

 

HEAD COACH=††††††††††††††††† AST. COACH=

E-MAIL:†

E-MAIL:

#

NAME

ADDRESS

CITY

ST

ZIP

SCHOOL

GR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I CERTIFY ALL ABOVE INFORMATION TO BE CORRECT, & THAT ALL FAMILIES ON MY TEAM AGREE TO HOLD HARMLESS THE J. BABE STEARN COMMUNITY CENTER, SWISH 365, VARSITY A.C./ YOUTH BASKETBALL INC. ANY & ALL SCHOOLS, PLAYING SITES, ALL LEAGUE WORKERS/DIRECTORS/VOLUNTEERS/SCHOOL PERSONNEL/COACHES ETC. RESPONSIBLE FOR ANY INJURIES/DAMAGES/LOSSES THAT MAY OCCUR AS A RESULT OF MY TEAMíS PARTICIPATION IN THE TRI-COUNTY BASKETBALL LEAGUE INCLUDING THE POSSIBLE EXPOSURE TO ANY VIRUS!

 

HEAD COACH SIGNATURE† _______________________________________†††† DATE ________/_________/_________††††