<head>
<title>Welcome to the Auburndale Youth Basketball League Registration Form</title>
<style type="text/css">
<!--
.style1 {
	color: #FF0000;
	font-style: italic;
}
.style2 {
	color: #FF0000;
	font-weight: bold;
}
-->
</style>
</head>
<body>
<script language="JavaScript"> 
function formCheck(formobj){
	// name of mandatory fields
	var fieldRequired = Array("x_player_name", "x_player_birth_date", "x_parent_name", "x_player_address", "x_player_city", "x_player_zip",
            "x_player_primary_phone",  "x_player_emergency_phone", "x_player_school", "x_player_grade", 
           "x_player_email",  "x_player_sex", "x_shirt_size", "x_help", "x_sponsor", "x_read_waiver_and_agree",
           "x_clinic_camp_confirm", "x_league_reg"); 
//           "x_t_shirt_as", "x_t_shirt_am", "x_t_shirt_al", "x_t_shirt_ax", "x_t_shirt_axx",
//           "x_t_shirt_axxx", "x_t_shirt_axxxx", "x_t_shirt_axxxxx", "x_league_opt_out", "x_fund_rasier_opt_out", 
//           "x_first_name", "x_last_name", "x_address", "x_city",
//           "x_state", "x_zip", "x_email", "x_phone",
//           "x_league_reg", "x_card_num", "x_exp_date");
	// field description to appear in the dialog box
	var fieldDescription = Array("Player Full Name", "Player Birth Date", "Parent Name", "Player Address", "Player City", "Player Zip",
           "Primary Phone", "Emergency Phone", "School Attending", "Grade",  
           "Valid E-mail ", "Player Gender", "Shirt Size", "Can You Help", "Sponsor", "Waiver Read And Agreement Check Box",
           "Lock In Checkbox", "Registration Selection"); 
 //          "T-Shirts Adult Small", "T-Shirts Adult Medium", "T-Shirts Adult Large",
 //          "T-Shirts Adult X-Large", "T-Shirts Adult 2X", "T-Shirts Adult 3X", "T-Shirts Adult 4X", "T-Shirts Adult 5X",
 //          "Opt Out Fee", "Opt Out Check Box",
 //          "Card Holder First Name", "Card Holder Last Name", "Card Holder Address", 
 //          "Card Holder City",
 //          "Card Holder State", "Card Holder Zip", "Card Holder Receipt E-mail", "Card Holder Primary Phone",
 //          "Registration Selection", "Credit Card Number", "Credit Card Expiration Date");
	// dialog message
	var alertMsg = "Please complete the following fields:\n";
	
	var l_Msg = alertMsg.length;
        // computation variables
        var campvl = 0;
        var magictx = 0;
        var leagueamt = 60.00;
        var tshrtvl = 0;
        var tshrtct = 0;
        var optfee  = 0;
        var quanval = 1;
        var optselect = 'N';
        var stditemdesc = "AYBL Standard Registration";
	
	for (var i = 0; i < fieldRequired.length; i++){
		var obj = formobj.elements[fieldRequired[i]];
		if (obj){
			switch(obj.type){
			case "select-one":
				if (obj.selectedIndex == -1 || obj.options[obj.selectedIndex].text == "" && fieldDescription[i] != "Opt Out Fee"){ 
					alertMsg += " - " + fieldDescription[i] + "\n";
				}
                                if (obj.selectedIndex == 0 && fieldDescription[i] == "Opt Out Fee"){
                                        optselect = "N";
				}
                                if (obj.selectedIndex == 1 && fieldDescription[i] == "Opt Out Fee"){
                                        optselect = "Y";
				}
                                if (obj.selectedIndex == 0 && fieldDescription[i] == "Registration Selection"){
                                        var totalval = leagueamt + campvl + optfee + tshrtvl;
                         		          document.leaguereg.amount_1.value = totalval.toFixed(2); 
                         		          document.leaguereg.quantity_1.value = quanval.toFixed(0);
                         		          document.leaguereg.item_name_1.value = stditemdesc +
                         		            " " + "Player Name is " + document.leaguereg.x_player_name.value +
                         		            "  Player DOB is " + document.leaguereg.x_player_birth_date.value +
                         		            "  Address is " + document.leaguereg.x_player_address.value;
                         		          document.leaguereg.amount_2.value = 0.00; 
                         		          document.leaguereg.quantity_2.value = 1
                         		          document.leaguereg.item_name_2.value =
                         		            "  City is " + document.leaguereg.x_player_city.value +
                         		            "  Zip is " + document.leaguereg.x_player_zip.value +
                         		            "  School is " + document.leaguereg.x_player_school.value +
                         		            "  Grade is " + document.leaguereg.x_player_grade.value +
                         		            "  Primary Phone is " + document.leaguereg.x_player_primary_phone.value +
                         		            "  Emergency Phone is " + document.leaguereg.x_player_emergency_phone.value;
                         		          document.leaguereg.amount_3.value = 0.00; 
                         		          document.leaguereg.quantity_3.value = 1
                         		          document.leaguereg.item_name_3.value =  
                         		            "  E-mail is " + document.leaguereg.x_player_email.value +
                         		            "  Parent Name is " + document.leaguereg.x_parent_name.value;
                         		          document.leaguereg.amount_4.value = 0.00; 
                         		          document.leaguereg.quantity_4.value = 1;
                         		          if (document.leaguereg.x_clinic_camp_confirm.value != "YES") {
                         		          	 document.leaguereg.x_clinic_camp_confirm.value = "NO";
                         		          }
                         		          document.leaguereg.item_name_4.value =   
                         		            "  Gender is " + document.leaguereg.x_player_sex.value +
                         		            "  Waiver Signed = " + document.leaguereg.x_read_waiver_and_agree.value +
                         		            "  Lock-In Signup = " + document.leaguereg.x_clinic_camp_confirm.value;
                         		          document.leaguereg.amount_5.value = 0.00; 
                         		          document.leaguereg.quantity_5.value = 1;
                         		          document.leaguereg.item_name_5.value =   
                         		            "  Shirt Size = " + document.leaguereg.x_shirt_size.value +
                         		            "  Can you help = " + document.leaguereg.x_help.value +
                         		            "  Team Sponsor = " + document.leaguereg.x_sponsor.value;  
				}
				break;
			case "select-multiple":
				if (obj.selectedIndex == -1){
					alertMsg += " - " + fieldDescription[i] + "\n";
				}
				break;
                        case "checkbox":
				if (obj.checked == false && fieldDescription[i] == "Opt Out Check Box" && optselect == "Y"){ 
                                       alertMsg += " - " + fieldDescription[i] + " Opt Out Fee Should Not Be Selected If Opt Out Check Box Not Selected" + "\n"
                                         optfee = 0.00;
                                         optselect = 'N';
                                } 
                                if (obj.checked == true && fieldDescription[i] == "Opt Out Check Box" && optselect == "N") {
                                      alertMsg += " - " + fieldDescription[i] + " Should Not Be Checked If Opt Out Fee Is Not Selected"  + "\n"
                                         optfee = 0.00;
                                } 
                                if (obj.checked == true && fieldDescription[i] == "Opt Out Check Box" && optselect == "Y") {
                                        optfee = 55.00; 
				}
                                if (obj.checked == false && fieldDescription[i] == "Waiver Read And Agreement Check Box"){ 
                                       alertMsg += " - " + fieldDescription[i] + "\n";
                                }
                                if (obj.checked == true && fieldDescription[i] == "Clinic Camp Checkbox"){
					                          campvl = 10.00;
					                          stditemdesc = "AYBL Registration Plus Clinic";
//					                          document.leaguereg.amount_2.value = leagueamt.toFixed(2); 
//                         		        document.leaguereg.quantity_2.value = quanval.toFixed(0);
//					                          document.leaguereg.item_name_2.value ="AYBL Standard Registration Plus Clinic Registration";
				}
                                if (obj.checked == false && fieldDescription[i] == "Clinic Camp Checkbox"){
					                         campvl = 0;
					                         document.leaguereg.x_clinic_camp_confirm.value = "NO";
					                         stditemdesc = "AYBL Standard Registration";
//					                         document.leaguereg.item_name_2.value = "";
//					                         document.leaguereg.quantity_2.value = "";
//					                         document.leaguereg.item_name_2.value = "";

                                }					
				break;
                        case "text":
			case "textarea":
				if (obj.value == "" || obj.value == null){
					alertMsg += " - " + fieldDescription[i] + "\n";
				}

                                if (fieldDescription[i] == "T-Shirts Adult Small"){
                                   if (obj.value < "0" || obj.value > "99"){					
                                       alertMsg += " - " + fieldDescription[i] + "\n";
                                    }else{   				
                                       tshrtvl += obj.value * 12.00;
				    }
                                }
                                if (fieldDescription[i] == "T-Shirts Adult Medium"){
                                   if (obj.value < "0" || obj.value > "99"){					
                                       alertMsg += " - " + fieldDescription[i] + "\n";
                                    }else{   				
                                       tshrtvl += obj.value * 12.00;
				    }
                                }
                                if (fieldDescription[i] == "T-Shirts Adult Large"){
                                   if (obj.value < "0" || obj.value > "99"){					
                                       alertMsg += " - " + fieldDescription[i] + "\n";
                                    }else{   				
                                       tshrtvl += obj.value * 12.00;
				    }
                                }
                                if (fieldDescription[i] == "T-Shirts Adult X-Large"){
                                   if (obj.value < "0" || obj.value > "99"){					
                                       alertMsg += " - " + fieldDescription[i] + "\n";
                                    }else{   				
                                       tshrtvl += obj.value * 12.00;
				    }
                                }
                                if (fieldDescription[i] == "T-Shirts Adult 2X"){
                                   if (obj.value < "0" || obj.value > "99"){					
                                       alertMsg += " - " + fieldDescription[i] + "\n";
                                    }else{   				
                                       tshrtvl += obj.value * 14.00;
				    }
                                }
                                if (fieldDescription[i] == "T-Shirts Adult 3X"){
                                   if (obj.value < "0" || obj.value > "99"){					
                                       alertMsg += " - " + fieldDescription[i] + "\n";
                                    }else{   				
                                       tshrtvl += obj.value * 16.00;
				    }
                                }
                                if (fieldDescription[i] == "T-Shirts Adult 4X"){
                                   if (obj.value < "0" || obj.value > "99"){					
                                       alertMsg += " - " + fieldDescription[i] + "\n";
                                    }else{   				
                                       tshrtvl += obj.value * 18.00;
				    }
                                }
                                if (fieldDescription[i] == "T-Shirts Adult 5X"){
                                   if (obj.value < "0" || obj.value > "99"){					
                                       alertMsg += " - " + fieldDescription[i] + "\n";
                                    }else{   				
                                       tshrtvl += obj.value * 20.00;
				    }
                                }
                            
				break;
			default:
			}
			if (obj.type == undefined){
				var blnchecked = false;
				for (var j = 0; j < obj.length; j++){
					if (obj[j].checked){
						blnchecked = true;
					}
				}
				if (!blnchecked){
					alertMsg += " - " + fieldDescription[i] + "\n";
				}
			}
		}
	}

	if (alertMsg.length == l_Msg){
		return true;
	}else{
		alert(alertMsg);
		return false;
	}
}
// -->
</script>
<p>
<img src="http://eteamz.active.com/auburndaleyouthbasketball/images/ayblrimage002.jpg" align="left" width="144" height="118">
<img src="http://eteamz.active.com/auburndaleyouthbasketball/images/ayblrimage002.jpg" align="right" width="144" height="118">
</p>		
<p style="text-align:center;font-weight:bold;font-family:arial;font-size:12pt;">AUBURNDALE YOUTH BASKETBALL LEAGUE, INC.&nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp</p>
<p style="text-align:center;font-weight:bolder;font-style:italic;font-family:arial;font-size:12pt;">P. O. Box 1732 &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp </p>
<p style="text-align:center;font-weight:bolder;font-style:italic;font-family:arial;font-size:12pt;">Auburndale, FL 33823 &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp</p>
<p style="text-align:center;font-weight:bolder;font-style:italic;font-family:arial;font-size:12pt; &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp</p>
<p style="color:red;text-align:left;font-weight:normal;font-style:italic;font-family:arial;font-size:10pt;
<p style="text-align:center;font-weight:bold;font-family:arial;font-size:16pt;">ONLINE REGISTRATION FORM</p>
<br>
<p align="center"style="color:purple;text-align:center;font-weight:bold;font-style:italic;font-family:Aeolus;font-size:16pt;">***Registration for 2012/2013 Now Available***</p>
<br> 
<!-- <p align="center"style="color:red;text-align:center;font-weight:bold;font-style:italic;font-family:Aeolus;font-size:16pt;">***Online Registration Available For Jr & Sr Girls and Start Smart Only***</P>
<p align="center"style="color:red;text-align:center;font-weight:bold;font-style:italic;font-family:Aeolus;font-size:16pt;">***Registration Deadline, December 6, 2008 at 6 pm***</p>
<br> -->
<!-- <form NAME="leaguereg", METHOD=GET onsubmit="return formCheck(this);"  > -->

<form NAME="leaguereg", METHOD=POST onsubmit="return formCheck(this);" 
      target="paypal" ACTION="https://www.paypal.com/cgi-bin/webscr" > 
<!--	ACTION="https://secure.authorize.net/gateway/transact.dll" >
<input type="hidden" name="x_version" value="3">
<input type="hidden" name="x_login" value="7u6d8fLc">
<input type="hidden" name="x_show_form" value="PAYMENT_FORM">
<input type="hidden" name="x_method" value="CC">
<input type="hidden" name="x_email_customer" value="TRUE">
<input type="hidden" name="x_merchant_email" value="jkey251045@aol.com; ayblhoops@yahoo.com"> -->
<input type="hidden" name="amount_1" value="60.00">
<input type="hidden" name="item_name_1" value"AYBL Standard Registration">
<input type="hidden" name="amount_2" value="">
<input type="hidden" name="item_name_2" value"">
<input type="hidden" name="amount_3" value="">
<input type="hidden" name="item_name_3" value"">
<input type="hidden" name="amount_4" value="">
<input type="hidden" name="item_name_4" value"">
<input type="hidden" name="amount_5" value="">
<input type="hidden" name="item_name_5" value"">
<fieldset style="font-weight:bolder;font-family:arial;font-size:12pt;">
<legend style="color:red">(***Player Information***)</legend>
Player Full Name: 
<input type="text" name="x_player_name" value="" size=45 />&nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp
Player Birth Date (MM/DD/YYYY): 
<input type="text" name="x_player_birth_date" value="" size=10 />
<br>
<br>
Parent's Name: <input type="text" name="x_parent_name" value="" size=55 />  &nbsp &nbsp &nbsp &nbsp
Address:&nbsp &nbsp 
<input type="text" name="x_player_address" value="" size=60 />&nbsp &nbsp &nbsp &nbsp &nbsp
<br>
<br>
City: 
<input type="text" name="x_player_city" value="" size=45 />
&nbsp &nbsp
Zip: 
<input type="text" name="x_player_zip" value="" size=10 />
<br>
<br>
&nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp
&nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp  
&nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp
 &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp
 &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp 
<br>
Primary Phone: 
<input type="text" name="x_player_primary_phone" value="" size=14 />&nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp
Emergency Phone: 
<input type="text" name="x_player_emergency_phone" value="" size=14 />&nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp
<br>
<br>
School: 
<input type="text" name="x_player_school" value="" size=55 />&nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp
Grade: 
<input type="text" name="x_player_grade" value="" size=8 />
<br>
<br>
Valid E-mail &nbsp &nbsp &nbsp <strong style="color:red;text-align:left;font-weight:bolder;font-style:italic;font-family:arial;font-size:8pt;">This must be a valid e-mail address of the parent registering the child.</strong>
<br>
Address:  
<input type="text" name="x_player_email" value="" />
<br>
<br>
Gender: 
<select size="1" name="x_player_sex" value=""> 
	<option value="BOYS">Boys</option> 
  <option value="GIRLS">Girls</option>
</select>
&nbsp &nbsp &nbsp
Shirt Size: 
<select size="1" name="x_shirt_size" value=""> 
	<option value="Youth Small">Youth Small</option> 
  <option value="Youth Medium">Youth Medium</option>
  <option value="Youth Large">Youth Large</option> 
  <option value="Adult Small">Adult Small</option>
  <option value="Adult Medium">Adult Medium</option>
  <option value="Adult Large">Adult Large</option>
  <option value="Adult X-Large">Adult X-Large</option>
  <option value="Adult XX-Large">Adult XX-Large</option>
</select>
&nbsp &nbsp &nbsp
Would You Like To Help: 
<select size="1" name="x_help" value=""> 
	<option value="Not Able">Not Able</option> 
  <option value="Head Coach">Head Coach</option>
  <option value="Asst. Coach">Asst. Coach</option> 
</select>
&nbsp &nbsp &nbsp
<br />
<br />
If you know someone who would like to sponsor a team please call Leslie Fuhrman @ 863-661-2871 or e-mail auburndaleyouthbasketball@live.com 
<br />

<p style="text-align:center;text-decoration:underline;font-weight:bold;font-family:arial;font-size:16pt;">PARENT/GUARDIAN WAIVER/RELEASE STATEMENT</p>

<p style="text-align:left;font-weight:lighter;font-family:arial;font-size:9pt;">Parent or Guardian’s signature giving the above named person permission to play in the
 Auburndale Youth Basketball League and/or AYBL HOOPS and/or AHS Athletic Boosters, Inc/Basketball
 and that you do hereby agree to hold harmless the City of Auburndale, the Auburndale Youth Basketball
 League, Inc. and the Board of Directors responsible for any accident or injury that might be incurred
 as a result of participation in same whether in a game, at practice or during travel.
 I further agree that the immediate supervisor is authorized in my name, to have administered emergency medical
 aid and further that he/she may arrange for transportation to either the doctor’s office or hospital as may be required I understand
 that my behavior during practice, games, tournaments, etc. is expected to be of a mature nature keeping in mind that this is youth sports, not the NBA/WNBA.
 I will act accordingly as well as my child. I certify that by submitting this online application that I am providing full agreement to all of these waiver
 terms and conditions.</p>

&nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp  
<input type="checkbox" name="x_read_waiver_and_agree" value="YES" />
<strong style="color:orange">Check Here To Confirm That You Read The Waiver And Agree With The Terms</strong>
<br />
</fieldset>
<br />
<fieldset style="font-weight:bolder;font-family:arial;font-size:12pt;">
<br />
<strong style="color:blue;text-align:left;font-weight:bolder;font-style:italic;font-family:arial;font-size:12pt;">Youth Basketball Camp with AHS High School Coach and players, December 8, 2012 9:00-1:00, cost is $10</strong>
<br>
<strong style="color:blue;text-align:left;font-weight:bolder;font-style:italic;font-family:arial;font-size:10pt;">To confirm that you wish to sign the player up for the youth basketball camp, please select the checkbox</strong>
<input type="checkbox" name="x_clinic_camp_confirm" value="YES" />
</fieldset>
<!--
<br>
<fieldset style="font-weight:bolder;font-family:arial;font-size:12pt;">
<legend style="color:red">(***Parent Spirit Shirts***)</legend>
T-Shirt Pre-order Adult Small $12.00 &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp <input type="text" name="x_t_shirt_as" value="0" size=2 /> &nbsp &nbsp &nbsp &nbsp &nbsp
<br>
T-Shirt Pre-order Adult Medium $12.00 &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp <input type="text" name="x_t_shirt_am" value="0" size=2 />
&nbsp &nbsp T-Shirt Pre-order Adult Large $12.00   &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp  &nbsp &nbsp &nbsp <input type="text" name="x_t_shirt_al" value="0" size=2 />
<br>
T-Shirt Pre-order Adult X-Large $12.00 &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp <input type="text" name="x_t_shirt_ax" value="0" size=2 /> &nbsp
&nbsp T-Shirt Pre-order Adult XX-Large $14.00 &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp <input type="text" name="x_t_shirt_axx" value="0" size=2 /> &nbsp &nbsp &nbsp &nbsp
<br>
T-Shirt Pre-order Adult XXX-Large $16.00 &nbsp &nbsp &nbsp &nbsp <input type="text" name="x_t_shirt_axxx" value="0" size=2 />
&nbsp &nbsp T-Shirt Pre-order Adult XXXX-Large $18.00 &nbsp &nbsp &nbsp <input type="text" name="x_t_shirt_axxxx" value="0" size=2 /> &nbsp
<br>
T-Shirt Pre-order Adult XXXXX-Large $20.00 &nbsp <input type="text" name="x_t_shirt_axxxxx" value="0" size=2 />
<br> 
</fieldset>

<br> 
<fieldset style="font-weight:bolder;font-family:arial;font-size:12pt;">
<legend style="color:red">(***Fund Raiser Opt Out***)</legend>
<legend style="color:green">(For this additional fee added to the registration, your child can be excluded from league fund raising)</legend>
<br>
Fundraiser Opt Out Fee is $55.00 - Total Includes $5.00 card processing fee: 
<select size="2" name="x_league_opt_out" value="No"> <option selected value="No"></option> 
                                                     <option value="Fund Rasier Opt Out">Fund Rasier Opt Out</option> 
</select> 
<br />
<br>
<strong style="color:blue;text-align:left;font-weight:bolder;font-style:italic;font-family:arial;font-size:10pt;">
To confirm that yourself or your child is not required to participate in the league fundraiser activity, then please select the checkbox and the selection box for the required $50 fee for opting out</storng>
<input type="checkbox" name="x_fund_rasier_opt_out" value="YES" />
</fieldset>
<br>
-->
<!--
<fieldset style="font-weight:bolder;font-family:arial;font-size:12pt;">
<legend style="color:red">(***Orlando Magic Games Tickets for November 22, 2008 Game VS. Houston Rockets***)</legend>
<legend style="color:green">(***Tickets are 30.00 each which includes a 5.00 credit card conveinence fee***)</legend>
<br> 
&nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp 
Total Number of Magic Tickets: <input type="text" name="x_total_magic_tickets" value="0" size=2 /> 
<br/>
<strong style="color:blue;text-align:left;font-weight:bolder;font-style:italic;font-family:arial;font-size:10pt;">Parents are responsible for transportation and supervision of the child going to the Magic game, please select the checkbox to confirm your aggreement with this requirement</storng>
<input type="checkbox" name="x_magic_game_responsible" value="YES" />
</fieldset>
<br> -->

<fieldset style="font-weight:bolder;font-family:arial;font-size:12pt;">
<legend style="color:red">(***Click Paypal Button To Process Payment***)</legend>
<!--First Name:
<input type="text" name="x_first_name" value="" size=15 /> &nbsp &nbsp &nbsp &nbsp &nbsp
Last Name: 
<input type="text" name="x_last_name" value="" size=25 /> &nbsp &nbsp &nbsp &nbsp &nbsp
<br>
<br>
Street Address: 
<input type="text" name="x_address" value="" size=50 /> &nbsp &nbsp &nbsp &nbsp &nbsp
City: 
<input type="text" name="x_city" value="" /> &nbsp &nbsp &nbsp
State: 
<input type="text" name="x_state" value="" size=2 />
<br>
<br>
Zip: 
<input type="text" name="x_zip" value="" size=5 /> &nbsp &nbsp &nbsp &nbsp &nbsp
Receipt E-mail Address: 
<input type="text" name="x_email" value="" /> &nbsp &nbsp &nbsp &nbsp &nbsp
Primary/Home Phone: 
<input type="text" name="x_phone" value="" size=14 />
<br>
<br>
<legend style="color:green">(Only, Visa, MasterCard, Discover, and American Express Is Accepted)</legend>
-->
<br>
Online Registration Fee is $60.00: 
<select size="1" name="x_league_reg" value="YES"> <option selected value="AYBL Regular Season">AYBL Regular Season Fee</option> 
</select> 
<br />
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<p style="color:red;text-align:center;font-weight:bold;font-style:italic;font-family:Aeolus;font-size:26pt;">REMEMBER, THIS IS YOUTH SPORTS!</p>
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<a style="font-weight:bolder;font-family:arial;font-size:20pt;" href="http://eteamz.active.com/auburndaleyouthbasketball">www.auburndaleyouthbasketball.com</a>
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<a style="font-weight:bolder;font-family:arial;font-size:20pt;" href="mailto:auburndaleyouthbasketball@live.com">auburndaleyouthbasketball@live.com</a>
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