St. Joseph's CYO: 2023 Summer League Registration
FORM AND PAYMENT DUE BY JUNE 5, 2023
For additional, required forms please visit our website to download: 

Or reach out to Gerry O'Connor, Athletic Director: stjosephcyobb@aol.com

Registration Fee: $100

Please make check payable to: St. Joseph CYO

Mail to: 
96 Oakview Ave
Maplewood, NJ 07040
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Athlete's First Name *
Athlete's Last Name *
Address *
City *
State *
Zip code *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Current Grade as of June 1, 2023 *
Print the name of a Catholic Parish or a Catholic School where this child receives Religious
Education/CCD.
 *
Uniform Shirt Size *
Is your child playing on another summer team during June and/or July  *
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. I have read the attached Sports Agreement and agree to all the
policies for my child and myself. 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 + DATE *
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