3 on 3 Basketball Tournament Registration Form
Sunday October 19th 2008
Street Address: __________________________________________________
Home Phone: ____________________
Cell Phone : ____________________
E-mail :_____________________
Grade in fall 2008:________________
School:
___________________________
Height: ____ Weight: ____
Very Important - Check Level You Have Played
[ ] Youth – Intramural
[ ] Youth – Travel
[ ] Adult
Team Name____________________________________
Other Players on Team
1) _____________________________ 2) ____________________________
3) _____________________________ 4) ____________________________
ENTRY FEE - $125.00 FOR A (5) PLAYER TEAM
ALL APPLICATIONS ARE DUE NO LATER THAN OCTOBER 5TH, 2008
Make checks payable to: HHHYBL
HHH Youth Basketball League
12 Waydale Dr
Dix Hills, NY 11746
If not registered for the 2008/2009 Hills Basketball League please sign below:
I, (parent/guardian, circle one) of the above child authorize my child to play basketball in the HHH 3 v 3 Basketball Tournament. I agree that by signing this document that I will not hold the HHH Youth Basketball League, their coaches, officers, or coordinators responsible for any injury or illness arising out of playing basketball. Excess medical coverage will only be provided by the league only after all other valid and collectible medical coverage is exhausted.
Signed: _____________________________ (parent or guardian)
Printed Name: ____________________
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