2024-2025 Akron Silver League Basketball Application Name (last)_________________________(first)________________Age as of 4/1/25
Address____________________________ City____________________ Zip code__________-
Phone (home)____________________ Business________________ Cell__________________
E-mail __________________________________________
Please check attendance expectations ___100% ___90%___80%___70%___60%___ 50% or less.
I _____________________________, as a member of Akron Silver Basketball, so hereby agree to all of its rules and regulations. I am active in the basketball program and fully understand that my participation will make me total part of the game and I agree; to follow the instructions given by the league coordinator, coaches, managers and officials designated to control the activities and will follow all rules and regulations of the site and the rules and regulations of the City of Akron Recreation Department.
I indicate by my signature that I have had a recent physical exam or deem myself physically able to participate in any activity of the Akron Silver League Basketball. I further agree to assume all liability for my actions.
Signature________________________________________________Date________________________
Date fee paid_______________Check#____________Cash________Amount_____________________
In case of emergency call _____________________________ Phone # __________________________
My physician’s name_________________________________ Phone # __________________________
Any physical limitations ________________________________________________________________
Shirt size (circle one) S M L XL XXL XXXL
Gray shorts are required.
First time players please rank yourself.
Above average,_______ average, ________ below average, ______________. (Check one)
Please check your preference of play. Openings will be filled on a first come basis.
Half Court __________ $100 application _______________________________
Full Court __________ $120 application _______________________________
I will agree to coach a team. (Check one) yes______________ no _______________.
Check made out and mail application to:
Dalvin Horton
586 Fair Hill Dr. Phone 330-730-1125
Akron, Ohio 44213
ALDue by October 12, 2024
http://www.youtube.com/watch?v=lNxlRnFoyfM&sns=em