Team Name: ________________________ Team Captain (or Contact Person if under 18 years old): _________________________________ Cell Number: _______________________ Email

Address: ______________________
**The Contact Person will be the Emergency Contact for the Team**

The 3 on 3 Tournament is open to boys/girls, men/women in groups starting with 3rd Grade.
PLEASE SELECT A GROUP and CATEGORY
You can play Up (older Age group), but you cannot play Down.

Grade in Fall of 2013

3 on 3 Basketball Tournament Waiver In Case of Injury
I, the player, or the parent/guardian of the below mentioned player, hereby relinquish any right to claim against the Hazen Centennial Association, Hazen Public Schools, or its elected officials, employees or volunteers, for any damages or loss to property or personal injury that may be incurred or suffered during participation in scheduled games or in the practices and events taking place on the designated courts, and facilities used during this event. I, the player or parent/guardian of the below mentioned players, give my permission for myself or son/daughter to participate in the above mentioned activity and fully understand the stipulations of this event.

Boys 3rd & 4th Boys 5th & 6th Boys 7th & 8th Boys 9th thru 12th

Girls 3rd & 4th Girls 5th & 6th Girls 7th & 8th Girls 9th thru 12th

NDHSAA rules prohibit awarding prize money to student athletes. Players in this category will receive T-shirts.

PLEASE MAIL YOUR COMPLETED REGISTRATION AND CHECK PAYABLE TO: HAZEN CENTENNIAL ASSOCIATION ATTN: 3 0n 3 BB PO Box 100 Hazen, ND 58545

30-plus Women’s Women’s Rec Women’s Open

40-plus Men’s Men’s Rec Men’s Open

Player 1 Name (please print) _________________________________ (Player/Parent signature if under 18)
T-shirt size: (circle one) S M L XL

Women’s and Men’s categories are eligible for prize money. If a student-athlete plays in the Men’s/Women’s category and the team wins, the team must forfeit the prize money.

Prizes will be awarded in Men’s and Women’s category for 1st, 2nd & 3rd place.
NDHSAA rules prohibit awarding student-athletes, prize money. All student-athletes will receive t-shirts only.

Player 2 Name (please print) _________________________________ (Player/Parent signature if under 18)
T-shirt size: (circle one) S M L XL

The Tournament managers reserve the right to modify age groups to balance divisions. Register early to assure your team a slot. Cost per team: Boys and Girls Women’s and Men’s $40 $60

Prize for Best Uniform for Men’s and Women’s.

Proceeds will be donated to a local charity. For additional Centennial information, check us out on Facebook at Hazen Centennial 2013

Player 3 Name (please print) _________________________________ (Player/Parent signature if under 18)
T-shirt size: (circle one) S M L XL

Captains may check bracket information (game times and court assignments) the week of July 1st on the hazencentennial.com website. Captains are responsible to pass the information to their team.
Three-point Calcutta Shoot-out will be held beginning at 12:00 noon CT, on July 6th, 2013. The Auction will be held at Jimmy’s Lounge July 5th at 6:00 p.m. CT. Registration form located at hazencentennial.com You Do NOT have to participate in the 3-on-3 tournament to be part of the Calcutta. Questions regarding the Calcutta may be directed to Greg Batke at 701-880-9091.

Player 4 (optional) Name (please print) _________________________________
**For Alumni attending from out-of-area** Efforts will be made to find your child a team to play on if they are traveling with you to the Centennial. Please post a message on the hazencentennial.com website, stating your child’s Gender and Grade in the Fall of 2013.

(Player/Parent signature if under 18)
T-shirt size: (circle one) S M L XL

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