Online Registration Form:

Register your Team for 3 Urban Youth Tournaments and receive an Urban Youth Tee shirt for 12 team members or pay a additional $99.00 with your orginal Team Registration. Please Contact Mark P. Sills, Executive Director for details at urbanyouthinc@verizon.net.Or call contact us at  Tel. 302.328.2770  Toll Free 1-877-501-8368

[Note: After submitting form, you will be taken to a screen from which you can pay online via safe, secure PayPal. You will also be given information on how to pay by check instead.]

Tournament Name:          

Tournament Fee:           $ 

Team Name:                    

Team Street Address:    

City:                                   

US State:                               Zip:    

Team's AAU Registration Number:    

Coach's Name:                                    

Coach's Email:                                     (required)

Coach's Telephone:                            (required)

LIST PLAYERS

[NOTE: Any athlete entry will not be accepted, nor will the athlete be allowed
to compete, unless the athlete is a properly registered member of the AAU.]

[College Exposure Tournaments require each player's ADDRESS & PHONE NUMBER.]

       Player's Name                              Age                              AAU Number

1.      

     1.   Address:    

     1.   Telephone: 

2.      

     2.   Address:    

     2.   Telephone: 

3.      

     3.   Address:    

     3.   Telephone: 

       Player's Name                              Age                              AAU Number

4.      

     4.   Address:    

     4.   Telephone: 

5.      

     5.   Address:    

     5.   Telephone: 

6.      

     6.   Address:    

     6.   Telephone: 

       Player's Name                            Age                              AAU Number

7.      

     7.   Address:    

     7.   Telephone: 

8.      

     8.   Address:    

     8.   Telephone: 

9.      

     9.   Address:    

     9.   Telephone: 

       Player's Name                              Age                              AAU Number

10.    

     10.   Address:    

     10.   Telephone: 

11.    

     11.   Address:    

     11.   Telephone: 

12.    

     12.   Address:    

     12.   Telephone: 

Comments:

     

NOTE: If you have chosen not to use safe, secure PayPal to pay your tournament fee, you may send payment to:

Mark P. Sills, President
Urban Youth, Inc.
P.O. Box 126
Kenton, Delaware 19955

Make check or money order payable To: Urban Youth, Inc.