LAUNA; Lithuanian Athletic Union of North America

2011 Junior Basketball

Tournament Registration

Toronto, Ontario - May 28 & 29, 2011

FULL CLUB NAME:

___________________________________________________________________

CONTACT NAME:
___________________________________________________________________

CONTACT ADDRESS:
___________________________________________________________________

CITY: ___________________ PROVINCE: ______ POSTAL CODE: ___________

PHONE NO.: _____-_________ ( ) FAX NO.: _____-_________ ( )

E-MAIL: ______________________________

Our Club intends to field the following teams/participants for the 2011 LAUNA Jr. Basketball
Tournament:

Division # of Teams Division # of Teams

Boys B Girls B

Boys C Girls C

Boys D Girls D

Boys E Girls E

Mixed E Molecules

Total number of teams ______ x $250 = ________ [ ] CHEQUE or [ ] DIRECT DEPOSIT

CHEQUE PAYABLE TO: Ausra Sports Club DIRECT DEPOSIT: Institution Number: 828
Transit Number: 7802 Account Number: 1088-411
Payment due by April 30th, 2011
Provide your Club Name as a transaction label

Please EMAIL this registration form along with all team rosters to: zlinas@hotmail.com

YOU MAY ALSO MAIL ALL FORMS TO: Linas Zubrickas, 1403 Avonbridge Dr. Mississauga, ON, L5G 3G6 Canada
 LAUNA; Lithuanian Athletic Union of North America

2011 Junior Basketball

Tournament Registration

Toronto, Ontario - May 28 & 29, 2011

FULL TEAM NAME

(including Division):
__________________________________________________________________

Head Coach: _________________________________

Assistant Coach: _____________________________

Assistant Coach: _____________________________

Manager: ____________________________________

Roster
Number Name Gender Birthdate Position
Last, First M/F MM/DD/YYYY (optional)

Use this team roster form for each registered team. Please ensure birthdates are accurate.
th
Rosters are due by April 30 , 2011