Summer Break Shootout
Summer Break Shootout
June 16-18, 2017 - Springfield, Illinois Boys & Girls – Grades 4th-9th (16-17 School Year Grade Level) THE GYM of Springfield 217-522-7122 http://www.thegym-il.com/basketball/tournaments/leagues/summer-break-shootout
Team Name ____________________________________________________________________Grade (2016-17) _______________ City ______________________________________________________
Team - (Circle One)
Boys Girls
Coach ___________________________________________________
Skill Level - (Circle One) Travel Team School Team
Coach Home Phone ____________________________________ Coach Cell Phone ______________________________________ Coach E-mail _______________________________________________________________________________________________
Deadline (Including Entry Fee): Registration until June 8th or until full ($50 per game) Sold Out last 4 years - payment needs to be received by June 8th to reserve spot Payable to: Mail Forms/Checks to:
THE GYM of Springfield THE GYM of Springfield 1823 Camp Lincoln Rd. Springfield, Il 62707
We will work with conflicts! Please write specific conflicts/requests below or on back of page. Number of Games Desired: ___________ x $50 = _________________ (3 game max per day per team unless approved) Check dates/times that you can play (check all available times - or at least write down availability if specific times below do not match): We will try to accommodate as many requests as we can, but it is better if we have as much flexibility as possible to help with match-ups. ________ Friday, June 17th (4:00-10:00)
__________ Saturday, June 18th (8:00-5:00) __________ Saturday, June 18th (1:00-10:00)
__________ Sunday, June 19th (8:00-2:00) __________ Sunday, June 19th (11:00-6:00) List any specific conflicts or requests below (use back if necessary):
June 16-18, 2017 - Springfield, Illinois Boys & Girls – Grades 4th-9th (16-17 School Year Grade Level) THE GYM of Springfield 217-522-7122 http://www.thegym-il.com/basketball/tournaments/leagues/summer-break-shootout
Team Name ____________________________________________________________________Grade (2016-17) _______________ City ______________________________________________________
Team - (Circle One)
Boys Girls
Coach ___________________________________________________
Skill Level - (Circle One) Travel Team School Team
Coach Home Phone ____________________________________ Coach Cell Phone ______________________________________ Coach E-mail _______________________________________________________________________________________________
Deadline (Including Entry Fee): Registration until June 8th or until full ($50 per game) Sold Out last 4 years - payment needs to be received by June 8th to reserve spot Payable to: Mail Forms/Checks to:
THE GYM of Springfield THE GYM of Springfield 1823 Camp Lincoln Rd. Springfield, Il 62707
We will work with conflicts! Please write specific conflicts/requests below or on back of page. Number of Games Desired: ___________ x $50 = _________________ (3 game max per day per team unless approved) Check dates/times that you can play (check all available times - or at least write down availability if specific times below do not match): We will try to accommodate as many requests as we can, but it is better if we have as much flexibility as possible to help with match-ups. ________ Friday, June 17th (4:00-10:00)
__________ Saturday, June 18th (8:00-5:00) __________ Saturday, June 18th (1:00-10:00)
__________ Sunday, June 19th (8:00-2:00) __________ Sunday, June 19th (11:00-6:00) List any specific conflicts or requests below (use back if necessary):
