Basketball Registration 2022
ST. JOSEPH'S CYO | Basketball
Forms and Fees are due on or before October 10

Registration Fee: $200 - Grades 3 - 12 Travel Teams
                               $100 - Grades 1 & 2 Shamrock Clinic
Please make check payable to:
St. Joseph CYO
96 Oakview Ave
Maplewood, NJ 07040

Questions? Contact Athletic Director, Gerry O'Connor: stjosephcyobb@aol.com
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Email *
Athlete First Name *
Athlete Last Name *
Address *
City *
State *
Zip Code *
Birth Date  *
MM
/
DD
/
YYYY
Gender *
Grade
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School Attending *
Name of a Catholic Parish or a Catholic School where this child will receive Religious Education/CCD in 22-23 school year:
 *
For High School Student-Athletes Only:  Name of the Catholic Parish the Student is preparing for or has already received the sacrament of Confirmation
Uniform SHIRT size *
Uniform SHORT size *
Is this child playing on another sport(s) team during the WINTER 22-23 season?  *
Parent/Guardian (1) Name *
Parent/Guardian (2) Name
Parent/Guardian (1) Cell Phone *
Parent/Guardian (2) Cell Phone
Parent/Guardian (1) Email *
Parent/Guardian (2) Email
I hereby give my child permission to participate for St. Joseph CYO Athletics.  I will support this participation and will volunteer my time when called upon to assist at home
games. I understand that participation in athletic activities may result in serious injury. By my signature, I do hereby waive, release,
absolve, indemnify and agree to hold harmless the Parish of St Joseph, their employees and parish volunteers for any claim arising out
of injury to my child as result of their participation in CYO Basketball. (Sign your name w/ full date MM/DD/YYYY)
 *
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