Mike Harris Basketball Tournament

April 7-8, 2013

Greensboro, NC
WWW.GREENSBOROWARRIORS.NET
Boys Grades: 3rd-11th
Team Name__________________________ 2013 Grade_______
Team Mailing Address: _____________________________________
(City) _____________________ (State) ________ (Zip) ________________

April 7-8, 2013

Team Contact Person: ____________________________________

Team Contact Person Cell Phone Number: _________________________________
Team Contact Person Email Address: ____________________________________
Team Head Coach: _______________________________________
Team Head Coach Cell Phone Number: ________________________________
Team Head Coach Email Address: ________________________________________
Each team will receive a three-game guarantee. Please return this form with a certify check or money order
for $175.00 made payable to: Greensboro Warriors
(Deadline is April 4th for Entry Form and Payment)
Greensboro Warriors
4909 Riding Ridge Dr.
Greensboro, NC 27410
By signing this form, I, as team representative for the _______________________ (Team Name), agree not to
hold Greensboro Warriors Basketball, either staff of our program, the tournament volunteers, the hosting
facility or its staff liable for any injury or illness that comes from involvement in this tournament.
________________________________________ Signature of Team Representative __________ Date
________________________________________ Printed Name of Team Rep. ____________Date

Jersey
#

Players Name

Age

Grade

School