Grade School Basketball Program Boys and girls in 1st through 5th grade can participate in this basketball program. Separate leagues will be held for boys and girls. Grade divisions are 1st grade (plays on 8’ baskets), 2rd-3rd grade (plays on 9’ baskets), and 4th-5th grade (plays on 10’ baskets). No basketball experience is necessary! This eight-week program begins January 13th, 2015. Teams will practice once a week on Tuesday or Thursday evenings with games played on Saturday mornings. The following schools will be utilized for practices and/or games: Boys & Girls 1st grade ~ Oakdale, Sugar Creek Activity #: 233501—11 Boys 2rd-3rd grade ~ Grove, Prairieland, Hoose Girls 2rd-3rd grade ~ Grove, Prairieland, Hoose Activity #: Activity #: 233503—11 233503—12 Boys 4th-5th grade ~ Sugar Creek, Hoose, Grove, Prairieland Girls 4th-5th grade ~ Sugar Creek, Hoose, Grove, Prairieland Activity #: Activity #: 233505—11 233505—12 Each team will be assigned a coach that is on staff with the Normal Parks and Recreation Department. There will be a maximum of 10 players per team and each participant receives a t-shirt. For further information contact the Normal Parks and Recreation office, 454-9540. www.normalparks.org Return completed form to: Normal Parks and Recreation Department, 100 E. Phoenix Ave., Normal, IL 61761. or Fax to: 309-454-9701 Please include the $70 registration fee. Make checks payable to: Town of Normal _______Mastercard _______Visa Check #_____________ Card #_______________________________________ *CVS#__________Expiration Date ___________ Signature ______________________________ *CVS# is the three digit code located on the far right side of your credit card signature Grade School Basketball Program Registration Form CHILD’S NAME:_____________________________________________ MALE:__________________ FEMALE:____________________ PARENT’S NAME:______________________ ADDRESS:_____________________ CITY __________________ Zip Code _________ PHONE:__________________ SCHOOL:__________________________ BIRTHDATE:_________________ GRADE:_____________ HEIGHT:_______________ SHIRT SIZE (check one): ______YOUTH MEDIUM (10-12) ______YOUTH LARGE (14-16) ______ADULT MEDIUM ______ADULT LARGE ______ADULT SMALL ______ADULT XL PREFERRED PRACTICE NIGHT*: ______TUESDAY ______THURSDAY ______EITHER *Practice night, time or location cannot be guaranteed. Practice time possibilities are 5:45-6:45pm or 6:45-7:45 pm. 4th-5th graders also have the possibility of practicing 7:45-8:45 pm. PLAYER EVALUATION QUESTIONS: (Evaluations will be used to balance teams based on each player’s experience & skill level) 1) Has your child played organized basketball prior to this year? If yes, how many years? ___________ Yes/No And, with what organization(s)? _________________ 2) If you answered YES to #1, rate your child’s ability on a scale from 1-10 in the following areas when compared to others in his or her grade level (1 is below average, 10 is superior) Dribbling______ Shooting______ Passing ______ Knowledge of the Game______ Quickness_____ Rebounding______ Game Situations______ Overall Basketball Ability______ 3) Does your child play any other sports? Yes/No If yes, please list___________________________________________________________ 4) Rate your child’s overall sports skills when compared to others in his or her grade level 1 2 3 Below Average 4 5 6 Average _____________________________________________ PARENT/GUARDIAN SIGNATURE 7 8 Above Average 9 10 Superior