AOYB.NET - ARGENTA OREANA YOUTH BASKETBALL
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Information is
being sent via
email this year. Be
sure to include
your email.
Parents will be
responsible to
work the
concessions.
Uniforms will be
handed out at
practice
Practice dates and
times will be sent
via email to
all registered
participants
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Registration by U.S. Mail
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Please print this web page, fill out the form below and mail with payment to Bryan
White, c/o AOYB, P.O. Box 26, Argenta, IL 62501. Please include a check payable
to A-O Community Basketball in the amount of 35.00 per child.
Blank forms can also be obtained at the Argenta or Oreana Public Library as well.
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Fathers Name:______________________________ Phone;___________________
Mothers Name:______________________________Phone____________________
Email:_________________________ Street________________________________
City:_____________________________
Child's Name:_________________________________________ Grade__________
Child's Gender:__________________________
Emergency Contact____________________________Phone__________________
Please list any of your child's health conditions that would pertain to their
participation in youth basketball._________________________________________
___________________________________________________________________
Want to volunteer to coach? Please Indicate Head coach
or Assistant coach here:________________________________________________
I the parent / guardian of the above listed child accept all responsibility for my child.
I further understand that the A/O Community Basketball Organization and the A/O
School District is not responsible for any injury, which may occur during my child's
involvement in youth basketball. My signature below constitutes an agreement for
my child to participate per these conditions.
________________________________________
Parent or Guardian Signature:
Indicate yes here If you would like to apply for financial assistance.___________
If applying make no payment at this time.
If 6th grade participant is trying out for Jr. High team but wants to play youth if cut,
hold your payment and indicate yes here.________