3 on 3 Basketball Tournament
Registration Form
Sat. March 29th & Sun. March 30th, 2014
Circle the correct division
March 29th March 30th
3rd grade girls 3rd grade boys 8th grade girls 8th grade boys
4th grade girls 4th grade boys 9th grade girls 9th grade boys
5th grade girls 5th grade boys 10th grade girls 10th grade boys
6th grade girls 6th grade boys 11th & 12th grade girls
7th grade girls 7th grade boys 11th & 12th grade boys
Adult women Adult men
Team Name_________________________________________________
Player 1____________________________________Grade_________
Player 2____________________________________Grade_________
Player 3____________________________________Grade_________
Player 4____________________________________Grade_________
Coach or Representative’s Name_____________________________________
Address________________________City__________________Zip_________
E-mail address____________________________________________________
Cell Phone Number____________________ Home Phone________________
Coach or Representative’s Signature_________________________________
In signing, I verify that the players on the roster are eligible to compete in the 2014 basketball tournament. Upon your acceptance of this roster, all individuals intending to be legally bound, hereby waive and release any and all rights they may have against the 3 on 3 basketball tournament, the host school district and their representatives from any and all injuries suffered by the coaches and/or players at the specified event.
Send form and $40 payment to:
Chad Elston 609 Jewell Street Mora, Mn. 55051
Make checks payable to: Mora Girls Basketball
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