Winter Basketball

Registration is open now until Friday, December 2nd.

Games will begin on Sunday, January 8th.

Winter Basketball

Player First Name *

Player Last Name *

Birthdate *

School *

Grade *

Gender *

Email Address *

Enter Email

Confirm Email Address *

Confirm Email

T-Shirt Size *

Address *

City *

State *

Zip *

Emergency Contact Name *

Emergency Contact Number *

Preffered Coach and Teammates

All requests must be complete at registration. Requests will not be accommodated once teams are complete. All requests are not guaranteed.

Preferred Coach

Preferred Teammates

Name of Insurance Company *

Address of Insurance Company *

Registration Payment Method – $55 ($80 after registration deadline.) *

PayPal using PayPal Account

PayPal using Credit/Debit

Mail Check – Include CYO and Player name on check memo to CYO of Quincy 1115 S 7th St, Quincy, IL 62301

Interested in Volunteering?

I would like to be a Coach

I would like to be an Assistant Coach

By submitting this form I understand that Partcipation in any extracurricular activity or sport is a privilege and not an exclusive right according to the Catholic Youth Organization.
I also acknowledge that there are inherent risks associated and accompanied with sports and activities, and that my child may be injured as a result of an accident arising out of participation in athletics or activities.
Insurance Waiver
I also understand that my child must be covered by medical and/or accident insurance in order to participate in sports and hereby certify that my child is covered for injuries and/or death occurring as a result of participation in, or the practice for, all athletic events as in the Quincy Catholic Elementary Schools (St. Peter, St. Francis Solanus, St. Dominic, and Blessed Sacrament) CYO sports leagues during the current school year. I also certify that said insurance will be kept in force during the full time that my child engages in the practice for or participation in athletic events during the current school year.

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