Palmerton Youth Basketball Association

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PYBA REGISTRATION

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Birthdate:

* Gender:

* Grade:

* School Attending:

PYBA BASKETBALL INFORMATION

* Did you play last year for PYBA?:

Last Year's Coach:

* Number Years Playing Basketball:

* Skill Level::

* Select Jersey Shirt Size:

* Select Shooting Shirt Size (Travel Only):

* Primary Jersey Number Requested:

* Secondary Jersey Number Requested:

* CONFIRM SPELLING of Last Name for Shooting Shirt (Travel Only):

* In-House League or Travel Team for 2018-2019 Season:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Home Phone:

* Work Phone:

* Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

* Insurance Carrier:

* Policy #:

Medical Concerns::

VOLUNTEER INFORMATION

* Head Coach:

* Assistant Coach:

* Team Manager:

* In-House Basketball Referee:

PYBA CODE OF CONDUCT

The Primary purpose of youth sports programs is to offer each participant the opportunity to pursue, through competitive sports, the physical and emotional benefits of such activities. Too often the emphasis in sports participation has been placed on winning at any cost. The purpose of the Palmerton Youth Basketball Association (PYBA) Code of Conduct, to be followed by every participant, is to emphasize good sportsmanship, proper conduct, and full compliance with the rules and policies of the Youth Basketball League.

The PYBA Code of Conduct applies to all players, coaches, officials, parents, and spectators.

The PYBA Code of Conduct is based on the following principles of sportsmanship:

Code of Conduct for Players
1. Play the game for the game's sake
2. Be generous when you win.
3. Be gracious when you lose.
4. Be fair always, no matter what the cost.
5. Obey the rules of the game.
6. Work for the good of your team.
7. Accept the decisions of the officials with grace.
8. Believe in the honesty of your opponents.
9. Conduct yourself with honor and dignity.
10. Honestly and wholeheartedly applaud the efforts of your teammates and opponents.

Code of Conduct for Parents
The role of parents and spectators is critical to the success of the youth basketball program. It is, therefore, important that you follow the guidelines set forth below.
1. Always keep in mind that Palmerton Area Basketball League is a recreational sports program with an emphasis on developing skills and having fun. Although competition is a natural part of sports activities, do not make winning the primary goal for you or your child.
2. Support your child and his/her team in a positive manner. Cheer for your child and his/her
team, not against the opposing player or team.
3. Always show respect for all players, coaches, game officials and other fans. Allow for the fact that anyone can make a mistake. Set a positive example for our children with your behavior.
4. Follow the regulations set forth by the school district or Recreation Department for use of its facilities.

Code of Conduct for Coaches
1. Set a good example for participants and fans to follow.
2. Respect officials and their judgment and abide by the rules of the event.
3. Treat opposing coaches, participants and spectators with respect.
4. Instruct participants in sportsmanship and demand they display good sportsmanship.
5. Coach in a positive manner and do not use derogatory comments or abusive language.
6. At least two adults should be present at all practices and events.

In the event that this Code of Conduct is not adhered to, such actions should be brought to the attention of the PYBA officers. Disciplinary measures, if required, will be at the discretion of the PYBA’s officers.

I/we agree with the PYBA CODE OF CONDUCT *

PYBA MEDICAL LIABILITY WAIVER

I hereby give my son/daughter permission to participate in the Palmerton Youth Basketball Association program. I understand I am financially responsible for any medical bills incurred by my child while at practices or games. I authorize the staff of Palmerton Youth Basketball Association to act as they deem fit in the event an emergency arises. I hereby release and forever discharge the coaches of the Palmerton Youth Basketball Association from any and all manner of actions, suits damages, claims and demands on the account of personal injury or death arising from my child’s performance and participation in the above listed activities.

I/we agree with PYBA Liabilitly Waiver *

Payment must be made before the registration will be processed. Failure to pay will result in your child(ren) not being placed on a PYBA Team and a jersey not be ordered for them.

Please make sure to drop off cash or check at one of the registration nights.
- Wednesday, September 26, 2018 @ Palmerton HS from 6-8
- Wednesday, October 3, 2018 @ Palmerton HS from 6-8
- Wednesday, September 10, 2018 @ Palmerton HS from 6-8

- In House player = $50.00
- Travel player = $110.00
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LATE FEE AFTER 10/10/18 = $15.00
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Please make checks payable to: P.Y.B.A.

* indicates required fields

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