2009 Recreation League Waiting List

This is not a registration form.  This form is for players who would like to be placed on our waiting list.  To be confirm on the list, be sure to complete the following steps:

  1. Complete the form below and click "Submit"

  2. When you get to the confirmation page, download and print the Release of Liability and mail it to:

LYBA - Registration

P. O. Box 332

Loveland, Ohio 45140

 

Payment will be required only after players are placed on a team.

 

Player's First Name:  
Player's Last Name:  
Street Address:  
   
City:   St: Zip: 
     
Parent's Name(s):  
Home Phone:   (Please include Area Code)
Mobile Phone 1:   (Please include Area Code)
Mobile Phone 2:   (Please include Area Code)
Email Address:  
     
Select Division:  
Select Grade: