2017 The Great Northwest Basketball ROSTER ... - assets.ngin.com

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The Great Northwest Basketball

Once completed, return to:

The Great Northwest

Non-Competitive League

PO Box 506

2017 ROSTER SUBMISSION

Hudson WI 54016 Please return this roster with: Liability Wavier/Concussion Forms ~ for all players Coach Concussion Forms ~ for ALL coaches

Team Name: Grade:

4th

Gender:

3rd

BOYS

GIRLS

(Please Check One)

(Please Check One)

Head Coach Name:

Assistant Coach Name:

Head Coach Address:

Assistant Coach Address:

City / S tate / Zip:

City / S tate / Zip:

Head Coach Home Phone:

Work Phone:

Assistant Coach Home Phone:

Work Phone:

Head Coach Cell Phone:

Email:

Assistant Coach Cell Phone:

Email:

Player Player Name

Jersey Number

Information

Address

City, State, Zip Code

School Enrolled

Grade (2017-2018)