2024-25 3rd4th Optimist Basketball Form

Ashland Optimist Basketball

2024-25 Registration Form
Recreational Basketball League for Grades 1-6, Boys and Girls

3rd & 4th Grade Basketball Registration

This form is for registering 3rd and 4th grade players for the Ashland Optimist Basketball league. Basketball is available for all students 1st-6th grade, see separate signups at http://ashlandoptimist.org/youthsports/basketball.html if your player is not in 3rd or 4th grade.

3rd and 4th grade play 5v5 basketball against other mid-Missouri teams in the Mid-Missouri Youth Basketball Association (MMYBA).

Practices begin the week of December 1st in Southern Boone gyms. Coaches who attend the coaches meeting on November 20th will have first preference for selecting a practice time (Sunday, Monday, Tuesday, Wednesday, Thursday, and Friday options).

Games are on Saturdays in January and February. Games are hosted in various school gyms in mid-Missouri. Ashland will host each week, but not all Ashland teams will play in Ashland each week. Teams will get to play two games per Saturday.

Specific game dates are:

January 4
January 11
January 18
January 25
February 1
February 8
February 15

Players of all levels are welcome. Emphasis will be on instruction and practice of the basic skills. Registration includes a jersey for each player.

For questions or to inquire about scholarships, please contact the Youth Basketball Coordinator Madeline Bloss at AshlandOptimistBasketball@gmail.com
PLAYER INFORMATION:
Player's Name*

First NameLast Name
2024-25 Grade*
Male/Female*
Shirt Size*
Coach or other requests
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Parent/Guardian Name

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
Willing to Coach or Assist?

An essential element of youth basketball is the involvement of parents, especially those who can take on the role of coaching a team. All coaches are volunteers. Thank you for ensuring all players have the opportunity to play this year by coaching!
Coach's Name:
Coaches Name
Coach's Shirt Size
Coach
REGISTRATION PAYMENT
The cost is $55 per player for 3rd & 4th grade players. Registration is due by November 15th. If interested in registering after November 15, please contact AshlandOptimistBasketball@gmail.com to find out if there is space available.

For need-based scholarships, please email AshlandOptimistBasketball@gmail.com to receive a coupon code before completing registration. If you are registering more than two players from the same family, please email to request a coupon code.

3rd-4th Grade Registration$55.00

Enter coupon

Total $0.00

I acknowledge that basketball is a sport that requires physical exertion and has some risk of injury. I have no concerns about my child’s ability to handle the level of activity necessary to play basketball. The child or children named above has/have my permission to participate in the Optimist basketball program.

Consent to Treat

I hereby give my consent to the above applicant treated by a physician or surgeon in case of sudden illness or injury while participating in the above event.

By clicking submit I have read and understood the foregoing registration form, liability release form, parental consent and consent to treat, and agree to all their terms and conditions.
Once you click "Submit Form" below, you will be taken to a secure PayPal site to complete your payment. Ashland Optimist is a PayPal verified merchant. You may pay by credit card or PayPal account.
Should be Empty:

Ashland Optimist Basketball

PLAYER INFORMATION:

PARENT/GUARDIAN INFORMATION:

Willing to Coach or Assist?

REGISTRATION PAYMENT