New Organization Application
Section 1 - CBL Requirements
Please review all requirements
*
Your Town/Township/Borough/City, School, Organization, or Association must serve youth within our target age range (7 years old – 16 years old)
Your Town/Township/Borough/City, School, Organization, or Association has access to use at least one (1) Indoor Basketball Court
Your Town/Township/Borough/City, School, Organization, or Association must have insurance that covers all players and facilities
Your Town/Township/Borough/City, School, Organization, or Association must have non-disrimination policy for the basis of race, color, religion, gender, gender expression, age, national origin, disability, marital status, sexual orientation, or military status, in any of its activities or operations
Your Town/Township/Borough/City, School, Organization, or Association’s Indoor Basketball Court must be within 1 hour driving distance of Easton, PA
Your Town/Township/Borough/City, School, Organization, or Association agrees to all current policies, rules, by-laws, and fees associated with the Community Basketball League
Your Town/Township/Borough/City, School, Organization, or Association has never been ejected from the Community Basketball League, or if it has, your Town/Township/Borough/City, School, Organization, or Association’s probationary period to reapply to the CBL has concluded
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Section 2 - General Information
Name of Organization
*
Is this organization a 501(c)(3) organization?
*
Yes
No
Proof of 501(c)(3) Status
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Does your organization have a non-discrimination policy?
*
Yes
No
Proof of non-discrimination policy
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Does your organization have insurance for all players and facilities
*
Yes
No
Proof of insurance
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List of Primary Officers
*
Name
Phone
Email
President
Vice President
Secretary
Treasurer
Is the Organization affiliated with any school, municipality, or other organizations?
*
Yes
No
List the organizations below (use the plus sign to add a line):
Organization Website:
*
Type N/A if you do not have one
Primary CBL Organization Representative
This will be the primary point of contact for the CBL
Name
*
First Name
Last Name
Email
*
Confirmation Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Do you have a secondary CBL Representative? This person will be included on all emails to your Primary CBL Representative.
Yes
No
Secondary CBL Organization Representative
This will be the secondary point of contact for the CBL and they will be included on all emails to the Primary CBL Organization Representative
Name
*
First Name
Last Name
Email
*
Confirmation Email
example@example.com
Phone Number
*
Please enter a valid phone number.
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Section 3 - Basketball Courts
As a requirement to join the CBL, each organization must have access to at least 1 (one) indoor basketball court. Please provide court information below:
*
Full Gym/Court Name
Full Address
Phone Number
Gym 1
Gym 2
Gym 3
Gym 4
Gym 5
You MUST attach proof of usage availability from an authorized representative of the Gym/Court.
*
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List any Gym Restrictions
Restrictions
Gym 1
Gym 2
Gym 3
Gym 4
Gym 5
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Section 4 - Team Information Estimates
List the number of teams you estimate for each division and grade level
Instructional
*
Boys
Girls
3rd Grade
Developmental
*
Boys
Girls
4th Grade
5th Grade
6th Grade
Competitive
*
Boys
Girls
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
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Section 5 - Certification
Name of Individual Submitting Application
*
First Name
Last Name
Position in Organization
*
Mailing Adress
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Confirmation Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Pay online or mail a check?
*
Online
Mail a Check
Mail a Check to:
Community Basketball League
PO Box 4944
Easton PA 18043
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Non-Refundable Application Fee
$
50.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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