santa hoops classic

team registration form

contact person: ____________________________ email: ____________________________

address: ______________________________________ city/state/zip: __________________

home phone: _____________________ cell phone:__________________________

coach name:_______________________ coach email address:____________________________

coach home phone:__________________________ cell phone:______________________

assistant coach:_____________________________

team name:______________________________ city representing:__________________________

check one: _______boys 9u __________boys10u ________11u _________12u

name ( first last ) grade school

1._______________________ ______ _____________________________

2._______________________ ______ ______________________________

3._______________________ ______ ______________________________

4._______________________ ______ ______________________________

5._______________________ ______ ______________________________

6._______________________ ______ ______________________________

7._______________________ ______ ______________________________

8._______________________ ______ ______________________________

9._______________________ ______ ______________________________

10._______________________ ______ ______________________________

11._______________________ ______ ______________________________

12._______________________ ______ ______________________________

return this page completed with an entry fee of $125.00 or please mail to: ulysses hardy * 149
spencer ave. nw, concord, nc 28025 (704) 726-4818 ($35.00 fee will be charged on nsf checks)

signature: ___________________________________________________ date:___________