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Youth Basketball of America Team Registration

Address: 7676 Municipal Drive, Orlando, Florida 32819  
Phone: (407) 363-9262
Fax: (407) 363-0599

YBOA Team MEMBERSHIP of $125 includes your Team Registration and Liability & Secondary Accident Insurance for up to 12 players. Additional players can be added at $10 each.  

Coaches must join the YBOA Coaches & Officials Association ($15 per coach) which includes Secondary Accident & Liability Insurance as well as Mandatory Background Check.

* Indicates Required Field

Select a State: *
Team Name: *
Gender *    
Grade *
Division *

Coaching Staff

  First Name * Last Name * Birthdate * Cell Phone * Email *
Head Coach *
Assistant Coach
Assistant Coach

Main Contact Full Information

First Name: *
Last Name: *
Cell Phone: *
Email: *
Address 1: *
Address 2:
City: *
Prov/State: *
Country: *
Postal/ZIP Code: *

Player Information

  Last Name * First Name * AddressCityStateZIP CodeBirthdate *Grade NowAE
1
2
3
4
5
6
7
8
9
10
11
12
For each player entered after this line, $10.00 will be added to your registration fees.
13
14
15

*AE = Age Exception

YBOA Team Membership includes up to 12 players for $125.  Each additional player is $10 per player.  Coaches membership is $15 per coach.

Payment Type:

Policies

Offline Payment Instructions


* Indicates Required Field


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