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You are here: Youth Program > Forms

Forms

  • Championship Roster – This roster can be printed and used as the Official Roster and Waiver of Liability. The 2 pages of this form must be printed on front and back of the same sheet of paper. When obtaining signature from your District Commissioner, please have additional copies available so that he/she may retain a copy. For any questions regarding this roster form, please contact Cindy Inman or Crystal Dombkowski.

  • Photo ID Form – This form can be sent with photos attached, along with a birth certificate to Cindy Inman, 10856 East Gibbs Avenue, Rosedale, IN  47874 or to your district representative. Once signed, these forms can be presented as photo identification at ASA tournaments.

  • Individual Registration Claim Form - Complete this form, including coach’s signature, and send, along with relevant medical bills to Cindy Inman, 10856 East Gibbs Avenue, Rosedale, IN  47874. Once signed, Cindy will submit this form to Bollinger Insurance for processing.

  • Indiana ASA Junior Olympic Tournament Entry Form - Complete this form and send, along with a check payable to "Indiana ASA", to  Cindy Inman, 10856 East Gibbs Avenue, Rosedale, IN  47874.

  • Gold Territory Qualifier Tournament Entry Form - Complete this form and send, along with a check payable to "Indiana ASA", to  Cindy Inman, 10856 East Gibbs Avenue, Rosedale, IN  47874.