2017-2018 Akron Silver League Basketball Application
Name (last)_________________________(first)________________Age as of 4/1/18_________
Address____________________________ City____________________ Zip code___________
Phone (home)____________________ Business________________ Cell__________________
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.
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 __________ $80 application _______________________________
Full Court __________ $100 application _______________________________
I will agree to coach a team. (Check one) yes______________ no _______________.
Check made out and mail application to:
1427 Greensburg Rd. Phone 330-899-9983 or 330-328-2450
Uniontown, Ohio 44685
Due by October 19, 2017