SCHOOL'S OUT SHOOT OUT â 2016
SCHOOL’S OUT SHOOT OUT – 2016 Tournament Registration Form LAST NAME OF COACH ____________________________ FIRST NAME OF COACH ___________________________ ADDRESS _______________________________________________________________________________________ APT/UNIT _________________________
CITY/STATE _________________________
PHONE # _________________________ TEAM GENDER:
ZIP CODE __________
E-MAIL _________________________
BOYS
GIRLS
NAME OF TEAM ______________________________
TEAM LEVEL: REC
TRAVEL
# OF PLAYERS ______________________________
PLEASE CIRCLE THE GRADE LEVEL OF YOUR TEAM AS OF SEPTEMBER 1, 2015:
4
5
6
10
11
12
7
8
9
TEAM REGISTRATION FEE: $275.00 Important Registration Information: 1.
There is a deadline of June 1, 2016 for submission of this form and the $275.00 team registration fee for placement in the 2016 School’s Out Shoot Out tournament. Any team missing the June 1, 2016 deadline will be put on a waiting list.
PLEASE NOTE, WHEREVER POSSIBLE, TRAVEL TEAMS ARE PLACED IN TRAVEL ONLY BRACKETS OR PLACED UP ONE GRADE DIVISION IN A RECREATION BRACKET. • 2. 3.
NO REFUNDS. Teams are placed in brackets based on the gender and academic grade level of the oldest player. Please indicate below, if you wish your team to be assigned to a different bracket Ø
I wish my team be placed in the following, different bracket ___________________________.
I hereby register the above team as a participant in the Basketball program. I certify that I am the authorized coach of said team and hold harmless the H.Y.B.A., Inc. from any and all liability for any injury, illness or condition that may arise as a result of participation in this program. I also certify that the above team’s academic grade is accurate as indicated.
___________________________________ Signature of Authorized Coach
Date ______________________
Please make checks payable to: H.Y.B.A., Inc. Mail to: H.Y.B.A. Basketball Attn: School’s Out Shoot Out - 2016 P.O. Box 361 Ellicott City, MD 21041
REGISTRATION FORMS MUST BE RECEIVED BY JUNE 1, 2016
CITY/STATE _________________________
PHONE # _________________________ TEAM GENDER:
ZIP CODE __________
E-MAIL _________________________
BOYS
GIRLS
NAME OF TEAM ______________________________
TEAM LEVEL: REC
TRAVEL
# OF PLAYERS ______________________________
PLEASE CIRCLE THE GRADE LEVEL OF YOUR TEAM AS OF SEPTEMBER 1, 2015:
4
5
6
10
11
12
7
8
9
TEAM REGISTRATION FEE: $275.00 Important Registration Information: 1.
There is a deadline of June 1, 2016 for submission of this form and the $275.00 team registration fee for placement in the 2016 School’s Out Shoot Out tournament. Any team missing the June 1, 2016 deadline will be put on a waiting list.
PLEASE NOTE, WHEREVER POSSIBLE, TRAVEL TEAMS ARE PLACED IN TRAVEL ONLY BRACKETS OR PLACED UP ONE GRADE DIVISION IN A RECREATION BRACKET. • 2. 3.
NO REFUNDS. Teams are placed in brackets based on the gender and academic grade level of the oldest player. Please indicate below, if you wish your team to be assigned to a different bracket Ø
I wish my team be placed in the following, different bracket ___________________________.
I hereby register the above team as a participant in the Basketball program. I certify that I am the authorized coach of said team and hold harmless the H.Y.B.A., Inc. from any and all liability for any injury, illness or condition that may arise as a result of participation in this program. I also certify that the above team’s academic grade is accurate as indicated.
___________________________________ Signature of Authorized Coach
Date ______________________
Please make checks payable to: H.Y.B.A., Inc. Mail to: H.Y.B.A. Basketball Attn: School’s Out Shoot Out - 2016 P.O. Box 361 Ellicott City, MD 21041
REGISTRATION FORMS MUST BE RECEIVED BY JUNE 1, 2016
