Pierz High School. April 2nd and 3rd, 2016. Please circle the ... Matt Poepping, 303 Park Ave. Se. Pierz, Mn 56364. Make
3 on 3 Basketball Tournament Registration Form Pierz High School April 2nd and 3rd, 2016 Please circle the correct division under the appropriate date. April 2nd April 3rd April 3rd 10th grade boys 11th – 12th grade boys 3rd grade boys 9th grade boys 11th – 12th grade girls 4th grade boys 8th grade boys 9th grade girls 10th grade girls 7th grade boys 7th grade girls 8th grade girls 6th grade boys 5th grade girls 6th grade girls 5th grade boys 3rd grade girls 4th grade girls Men’s (Out of High School) Team Name________________________________________________________ Player 1______________________________________________ Grade_______ Player 2______________________________________________ Grade_______ Player 3______________________________________________ Grade_______ Player 4______________________________________________ Grade_______ *Coaches Name___________________________________________________ The coach needs to be an adult, over 18 years of age, and a parent/guardian of one of the players. This person does not need to be in attendance at the 3 on 3 tournament. Only 4 Players Allowed.
Coaches Address_____________________ City_____________ Zip___________ E-mail address_____________________________________________________ (Please print neatly & make sure your team has an email address listed) Home Phone Number_____________________
Cell Phone___________________
*Coaches Signature__________________________________________________ In signing, I verify that the players on the roster are eligible to compete in the 2014 3 on 3 basketball tournament. Upon your acceptance of this roster, I, my heirs, executors and administrators, intending to be legally bound hereby, waive and release any and all rights I may have against the 3 on 3 tournament, the host school district and their representatives from any and all injuries suffered by the coaches and/or players at the specified event.
Send form and $40 payment to: Matt Poepping, 303 Park Ave. Se. Pierz, Mn 56364 Make checks payable to: Pierz Basketball
