Street Fair Shootout 3on3 Registration Form

Street Fair Shootout 3on3 Registration Form

* teams may consist of 3 or 4 players

* all players must be in a grade (equal or lower) that qualifies them for playing in the selected division

	Player 1 (captain)	Player 2		Player 3		Player 4
Name
Address
Zip Code
Phone
Email
Shirt (circle one)	S M L XL	S M L XL		S M L XL		S M L XL
School
Grade (2008-9)
Position (G,F,C)
Team Name
Division (circle one)	grade school (up to 6th) girls boys		middle school (7th-8th) girls boys		high school (9th-12th) girls boys

In exchange for the opportunity to participate in the Street Fair Shootout 3on3 program, and recognizing the possibility of physical injury associated with basketball, I hereby release, discharge and/or otherwise indemnify the Street Fair Shootout 3on3 program and its affiliated organizations and sponsors, their volunteers, and associated personnel, including the owners of the facilities utilized by the program, against any claim by or on behalf of the registrant as a result of the registrant's participation in the Street Fair Shootout 3on3 tournament.

Signatures of Parent/Guardian:

Player 1_______________________________________________ Date ____________

Player 2_______________________________________________ Date ____________

Player 3_______________________________________________ Date ____________

Player 4_______________________________________________ Date ____________

Total Amount: _________ ($15.00 per Player)

Make checks payable to: YS Girls 3on3 Basketball
Mail or deliver to: YS Girls 3on3 Basketball, Attn: Rich Miller
272 Allen St., Yellow Springs, OH 45387

Note: only forms received by June 3rd guarantee t-shirts on tournament day