SUMMER SLAM â 2016
SUMMER SLAM – 2016 Tournament Registration Form LAST NAME OF COACH ____________________________ FIRST NAME OF COACH ___________________________ ADDRESS _______________________________________________________________________________________ APT/UNIT _________________________
CITY/STATE _________________________
PHONE # _________________________ TEAM GENDER:
ZIP CODE __________
E-MAIL _________________________
MALE
FEMALE
NAME OF TEAM ______________________________
TEAM LEVEL: REC
TRAVEL
# OF PLAYERS ______________________________
PLEASE CIRCLE THE GRADE LEVEL OF YOUR TEAM AS OF SEPTEMBER 1, 2015:
K 1 2 3 4 5 6 7 8 9 10 11 12
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 Summer Slam 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. 4.
Prior to the first game of the Summer Slam 2016 tournament, a $150.00 administrative fee will be deducted on all requested refunds. There will be no refunds after the first game of the season. 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 Please make checks payable to: H.Y.B.A., Inc. Mail to: H.Y.B.A. Basketball Attn: Summer Slam - 2016 P.O. Box 361 Ellicott City, MD 21041
Date ______________________
REGISTRATION FORMS MUST BE RECEIVED BY JUNE 1, 2016
CITY/STATE _________________________
PHONE # _________________________ TEAM GENDER:
ZIP CODE __________
E-MAIL _________________________
MALE
FEMALE
NAME OF TEAM ______________________________
TEAM LEVEL: REC
TRAVEL
# OF PLAYERS ______________________________
PLEASE CIRCLE THE GRADE LEVEL OF YOUR TEAM AS OF SEPTEMBER 1, 2015:
K 1 2 3 4 5 6 7 8 9 10 11 12
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 Summer Slam 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. 4.
Prior to the first game of the Summer Slam 2016 tournament, a $150.00 administrative fee will be deducted on all requested refunds. There will be no refunds after the first game of the season. 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 Please make checks payable to: H.Y.B.A., Inc. Mail to: H.Y.B.A. Basketball Attn: Summer Slam - 2016 P.O. Box 361 Ellicott City, MD 21041
Date ______________________
REGISTRATION FORMS MUST BE RECEIVED BY JUNE 1, 2016
