Knox County Youth Official Team Registration Form
Complete all information below and return the form to the League Director.
Complete one form for each team in the league. All players must be registered to participate.
Please type or print legibly
Name of Organization: ________________________________________________________________________
Team Name: __________________________________ Head Coach: ___________________________________
Email: __________________________ Phone/Daytime: __________________ Fax: _______________________
Address: _____________________________________ City: ____________________State_______ Zip: ______
Assistant Coach: _________________________Email: _____________________Phone/Daytime: ____________
Address: _____________________________________City: _____________________State_______ Zip: ______
Please circle correct league and division below.
6 Under – Boy’s or Girl’s
Boy’s League – 8u, 10u, 12u, 14u
Girl’s League - 8u, 10u, 12u, 14u
Name: ___________________________________
Address: _________________________________
City: __________________State: _____Zip: ____
Phone: __________________________________
Birth Date: _______________________________
Name: ___________________________________
Address: _________________________________
City: __________________State: _____Zip: ____
Phone: __________________________________
Birth Date: _______________________________
Name: ___________________________________
Address: _________________________________
City: __________________State: _____Zip: ____
Phone: __________________________________
Birth Date: _______________________________
Name: ___________________________________
Address: _________________________________
City: __________________State: _____Zip: ____
Phone: __________________________________
Birth Date: _______________________________
Name: __________________________________
Address: _________________________________
City: __________________State: _____Zip: ____
Phone: __________________________________
Birth Date: _______________________________
Name: __________________________________
Address: _________________________________
City: __________________State: _____Zip: ____
Phone: __________________________________
Birth Date: _______________________________
Name: ___________________________________
Address: _________________________________
City: __________________State: _____Zip: ____
Phone: __________________________________
Birth Date: _______________________________
Name: ___________________________________
Address: _________________________________
City: __________________State: _____Zip: ____
Phone: __________________________________
Birth Date: _______________________________
Name: ___________________________________
Address: _________________________________
City: __________________State: _____Zip: ____
Phone: __________________________________
Birth Date: _______________________________
Name: ___________________________________
Address: _________________________________
City: __________________State: _____Zip: ____
Phone: __________________________________
Birth Date: _______________________________
Name: ___________________________________
Address: _________________________________
City: __________________State: _____Zip: ____
Phone: __________________________________
Birth Date: _______________________________
Name: ___________________________________
Address: _________________________________
City: __________________State: _____Zip: ____
Phone: __________________________________
Birth Date: _______________________________
To the best of my investigated and concerned knowledge, the players listed above are registered
with only one Knox County Youth Basketball league for the 2015-2016 basketball season.
_______________________________________ ______________________________
Signature of Head Coach Date
click to sign
signature
click to edit
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