ST. ANNE CYO
BOYS BASKETBALL PROGRAM
St. Anne CYO is open to all children regardless of ability. We
don’t judge the success of this program by the number of
wins/losses, but by how children grow throw, hard work, their
knowledge of basketball, and by the fun they have by being a part
of a team and this program.
REGISTRATION REQUIREMENTS Children must be in grades 2-8.
 Children must live within the parish boundaries of St. Anne
Parish, which are; west of hwy 880, north of the Alameda
Creek (by Lowry Rd.) and up to the Union City border,
 Or be enrolled in St. Anne’s CCD religious education
program.
 You must provide us with a photo copy of your child’s birth
certificate.
 You must provide us with a photo copy of your utility bill,
one for each child you are registering. If your child is in
CCD, you do not need to provide us with the utility bill.
REGISTRATION FEE- The cost is $75.00 for the first child
and $60.00 for each additional child. If your child didn’t play last
year, you will need to buy a uniform, they cost $45.00 for the adult
sizes and $40.00 for the youth sizes. You may pick a number for
your child, but you will have to check with us to see if that number
has already been taken.
SIGN-UP DATESSat. Aug. 13, from 930am to 1230pm in class rm. 105 at St. Anne’s
Sat. Aug. 20, from 930am to 1230pm on St. Anne’s Patio
Sat. Aug. 27, from 930am to 1230pm in class rm. 105 at St. Anne’
PRACTICES- are held at Alvarado Middle School in Union
City. 3rd and 4th graders practice on Mon. and Fri. from 6-730pm,
5th and 6th graders practice on Tue. and Thurs. from 6-730pm, and
7th and 8th graders practice from 730-9pm on Tue. and Thurs.
We hope to start the first practices on Sept. 8th and 9th.
JERSEY NUMBER_______
DATE___________________
JERSEY SIZE___________
AMTPAID_______________
SHORT SIZE____________
CASH/CHECK #__________
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DIOCESE OF OAKLAND
CATHOLIC YOUTH ORGANIZATION (CYO)
PARENTAL PERMISSION, HEALTH AUTHORIZATION FORM
******THERE MUST BE A COPY OF THIS FORM AT ALL CYO EVENTS******
*CHILDS NAME________________________________________
PARISH - ST. ANNE
***IS THIS CHILD REGISTERED IN ST. ANNE’S RELIGIOUS EDUCATION PROGRAM? YES / NO
*SCHOOL___________________________________GRADE_______ BIRTH DATE______________
*PARENT/GUARDIANS NAME___________________________
HM. PHONE________________
*ADDRESS________________________________________________WK. PHONE________________
**********EMERGENCY CONTACT, OTHER THAN PARENT/GUARDIAN***********
*NAME________________________________________ PHONE NUMBER______________________
*CHILDS DOCTOR/CLINIC________________________ PHONE NUMBER___________________
*ADDRESS___________________________________________________________________________
*MEDICAL PLAN_____________________________ MEDICAL NUMBER_____________________
* DO YOU AUTHORIZE THE ADULT LEADER TO AUTHORIZE MEDICAL TREATMENT
FOR YOUR CHILD IN AN EMERGENCY, AS CONSIDERED NECESSARY BY THE
ATTENDING PHYSICIAN? YES_______ NO______
* LIST ALL CONDITIONS (SUCH AS ALLERGIES, SEIZURES) FOR WHICH YOUR CHILD
REQUIRES ONGOING MEDICATION AND STATE THE TYPE OF MEDICATION GIVEN –
______________________________________________________________________________________
* HAS YOUR CHILD HAD DIFFICULTY WITH ANY OF THE FOLLOWING (CIRCLE ANY
THAT MAY APPLY): ASTHMA FAINTING SPELLS CONVULSIONS DIABETES
HEART EYES EARS NOSE THROAT LUNGS DIGESTION MENSTRUAL OTHER____
* LIST ANY PHYSICAL RESTRICTION OR RESTRICTION FOR ANY SPORT ACTIVITY ON
THE BASIS OF MEDICAL CONDITION: ________________________________________________
______________________________________________________________________________________
* DATE OF CHILDS LAST PHYSICAL EXAM: ___________________________________________
IT IS STRONGLY RECONNENDED THAT EACH CHILD HAS A PHYSICAL
EXAMINATION PRIOR TO PARTICIPATING IN ANY SPORTS ACTIVITY!
SIGNITURE OF PARENT/GUARDIAN_________________________DATE______
ST. ANNE CYO
Parents/Guardians, Please read and initial each line and sign at the bottom.
_____Children participating in the boy’s basketball program must live
within the boundaries of St. Anne Parish( west of Hwy 880, North of the
Alameda Creek by Lowry Rd, Fremont, and up to the Union City/Hayward
city limits) or be enrolled in the CCD program at St. Anne. If a child is
found to be on a Parish team, that doesn't live in the parish boundaries, or
that is not enrolled in the parish's CCD program, that child will be removed
from the team by the league and the team will forfeit any games they have
won.
_____If your child decides not to play, or you decide to pull your child from
the program, regardless of reason, we can not give you a refund on the
uniform.
_____Children are to be dropped off and picked-up from practice. Children
are not to walk home from practice.
_____St. Anne CYO doesn't provide baby sitting services. You should only
drop off children who are going to be participating in a scheduled practice.
_____Parents and family members are welcome to come to practices and
WATCH, but you may not PLAY, PRACTICE, and or SHOOT AROUND!
Due to insurance and liability reasons, only coaches, and registered children
may play in the gym. If you would like to play outside, you do that at your
own risk.
_____Water is the only thing that maybe brought into a practice, and/or
game gym. No Food, Coffee, Sodas, or Sport Drink is allowed in the gyms.
_____There are no restrooms available for children to use during practice.
At times the Holly Ctr. is open. Please see that children use the facilities
before coming to practice.
_____We encourage you to work with your child, but during practice or a
game, you may not coach your child, the coach, or the official on the court.
_____Everyone in this program is a volunteer. No one is paid. If you are
interested in helping, please contact the Athletic Director or your child’s
coach.
Please sign and date_____________________________
REVISED 7/05