East Suburban Family YMCA
Plum Basketball League
2012-2013
Ongoing Registration begins on October 25th @ 7 pm at the East Suburban Family YMCA
$45.00 registration fee plus $30.00 fundraising fee
($75.00 must be paid-in-full at time of registration)
League open to all boys in grades 1-8 and girls in grades 3-8 from Plum Borough Only
(Teams assigned by gender and age; please do not request a specific teammate/coach)
Skills Clinics/Assessments take place in November, with practices starting in December and games running from January through March. All dates and times are subject to change.
The mission of the YMCA is to put Christian principles into practice through programs that build healthy spirit, mind and body for all.
This is not a Plum Borough School District sponsored event/program. This flyer is being distributed as a public service. All inquiries should be directed to Ben Raible at (724) 327-4667 or .
Plum Basketball League Registration Form: Grades 1st-8th Boys & 3rd-8th Girls From Plum
Name: ______Age: _____ Grade: _____
Address: ______Zip: ______Gender: ____
Parent’s Name: ______Evening Phone #: ______
E-Mail Address: ______Day Phone #: ______
Parent’s Date of Birth: ______Child’s Date of Birth: ______
T-Shirt Size: YS___ YM ___ YL___ AS___ AM___ AL___ AXL___ AXXL___
(6-8) (10-12) (14-16)
Emergency Contact Name: ______Emergency Contact Phone #: ______
Parent/Guardian Signature: ______
Waiver: By completing this form, I give permission for my son/daughter to participate in the YMCA Youth Basketball Program and agree to have he/she photographed for local publicity & promotions. I acknowledge that my child is adequately covered by our own personal insurance against injuries sustained through participation. It is further acknowledged that my child has my permission to participate even though he/she has not purchased school insurance. In consideration of the School District permitting my child to participate, I do hereby release the School District from my claim or cause of action arising out of damages due to participation, and further, agree to hold the School District, the East Suburban Family YMCA and the YMCA of Greater Pittsburgh harmless from other claims or causes of action.
East Suburban Family YMCA Phone: (724) 327-4667
2200 Route 286 Fax: (724) 733-7585
Pittsburgh, PA 15239 Web: www.ymcapgh.org
Skills Clinics/Assessments Schedule
1st Grade Boys 2nd Grade Boys
Nov. 5 6:15 pm @ Center Elementary Nov. 5 6:15 pm @ Center Elementary
Nov. 7 6:15 pm @ Center Elementary Nov. 8 6:15 pm @ Center Elementary
Nov. 12 6:15 pm @ Center Elementary Nov. 12 6:15 pm @ Center Elementary
Nov. 13 6:15 pm @ Center Elementary Nov. 14 6:15 pm @ Center Elementary
Nov. 19 6:15 pm @ Center Elementary Nov. 20 6:15 pm @ Center Elementary
3rd Grade Boys 4th Grade Boys
Nov. 5 6:15 pm @ Pivik Elementary Nov. 5 6:15 pm @ Pivik Elementary
Nov. 7 6:15 pm @ Pivik Elementary Nov. 8 6:15 pm @ Pivik Elementary
Nov. 9 6:30 pm @ Center Elementary Nov. 9 6:30 pm @ Center Elementary
Nov. 14 6:15 pm @ Pivik Elementary Nov. 15 6:15 pm @ Pivik Elementary
Nov. 16 6:30 pm @ Center Elementary Nov. 16 6:30 pm @ Center Elementary
5th-6th Grade Boys 7th-8th Grade Boys
Nov. 5 7:30 pm @ Pivik Elementary Nov. 8 7:30 pm @ Pivik Elementary
Nov. 7 7:30 pm @ Pivik Elementary Nov. 12 7:30 pm @ Pivik Elementary
Nov. 12 6:15 pm @ Pivik Elementary Nov. 15 7:30 pm @ Pivik Elementary
Nov. 14 7:30 pm @ Pivik Elementary Nov. 19 7:30 pm @ Pivik Elementary
Nov. 19 6:15 pm @ Pivik Elementary
3rd-5th Grade Girls 6th-8th Grade Girls
Nov. 5 7:30 pm @ Center Elementary Nov. 7 7:30 pm @ Center Elementary
Nov. 8 7:30 pm @ Center Elementary Nov. 12 7:30 pm @ Center Elementary
Nov. 13 7:30 pm @ Center Elementary Nov. 14 7:30 pm @ Center Elementary
Nov. 15 6:15 pm @ Center Elementary Nov. 15 7:30 pm @ Center Elementary
Nov. 19 7:30 pm @ Center Elementary Nov. 20 7:30 pm @ Center Elementary
All dates and times are subject to change. Please note that there will be no evening basketball activities if school is canceled for the day. Questions? Contact the following:
Ben Raible Coordinator 3rd-8th Grade Boys/All B-Ball Activities 724-327-4667
Milt Miller Coordinator 1st-2nd Grade Boys/3rd-8th Grade Girls