Everson/nooksack 3 On 3 Basketball Registration Form

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Return form and fee to:
payable to:
Nooksack Valley Drug
c/o 3 on 3 basketball
PGYAA
208 E. Main Street
Everson, WA 98247
Everson/Nooksack 3 on 3 Basketball Registration Form
Team Name:
______________________________________________
Check the appropriate division (Grade 2016/2017 school year):
Boys ________ Girls ________
___ 2nd
___ 3rd
____4th
____ 5th ___6th ___7th ____ 8th ___ 9th/10th
Player #1
Player #2
__________________________________________
__________________________________________
Address
Address
__________________________________________
__________________________________________
City, State, Zip
City, State, Zip
__________________________________________
__________________________________________
Age
Grade
Height
Age
Grade
Height
__________________________________________
__________________________________________
Playing Experience:
Playing Experience:
Rec
MS
AAU
HS
Rec
MS
AAU
HS
Player #3
Player #4
__________________________________________
__________________________________________
Address
Address
__________________________________________
__________________________________________
City, State, Zip
City, State, Zip
__________________________________________
__________________________________________
Age
Grade
Height
Age
Grade
Height
__________________________________________
__________________________________________
Playing Experience:
Playing Experience:
Rec
MS
AAU
HS
Rec
MS
AAU
HS
SPORTSMANSHIP PLEDGE
I have read and understand the registration policies. I also realize that I am responsible for my team's conduct of
play. I vow to help assist my team in a sportsmanlike manner. In the event that my team fails to do so, I realize
that my team may be ejected from the tournament.
(Must be 18 or older)
Team Coach Signature:____________________________________________________________
For Confirmation and/or
Team Coach Phone:_________________________________
weather related issues
Team Coach Email:__________________________________
ALL APPLICANTS/PARENTS MUST SIGN THE HOLD HARMLESS AGREEMENT ON THE
NEXT PAGE IN ORDER TO PARTICIPATE
** Use additional sheets as necessary

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