entry form - Suring Public School District

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Apr 8, 2017 - Phone (include area code). Team Name. Grade (circle one): 3-4 5-6 7-8 ... Phone w/area code. Email. Parent
ENTRY FORM 7TH ANNUAL 3-ON-3 BASKETBALL TOURNAMENT

APRIL 8, 2017 AT SURING SCHOOL Registration deadline with payment is April 1, 2017 Contact Person ____________________________________ Phone (include area code) ___________________________ Team Name ______________________________________ Grade (circle one): 3-4 5-6 7-8 9-10 11-12 Division (circle one): Boys Girls Team Entry Fee: $64 (Make checks or money orders payable to Suring Labor Day Celebration) Send entries no later than April 1 to: Suring Labor Day Celebration - P.O. Box 464, Suring, WI 54174 Be prepared to present proper ID at the registration table. NO ID – NO PLAY

Please print clearly in black or blue pen only PLAYER #1 CIRCLE SHIRT SIZE Youth size: S M L XL Adult size: S M L XL Full Name (please print) ___________________________________________ Grade _____________ Age ___________ School/Home School _________________________________________ Player signature _________________________ Mailing address _________________________________ City __________________ State ______ Zip _______________ Phone w/area code ___________________________________________ Email _________________________________ Parent/Guardian Name (if under age 18) ________________________________ Signature ____________________________ __________________________________________________________________________________________________ PLAYER #2 CIRCLE SHIRT SIZE Youth size: S M L XL Adult size: S M L XL Full Name (please print) ___________________________________________ Grade _____________ Age ___________ School/Home School _________________________________________ Player signature _________________________ Mailing address _________________________________ City __________________ State ______ Zip _______________ Phone w/area code ___________________________________________ Email _________________________________ Parent/Guardian Name (if under age 18) ________________________________ Signature ____________________________ __________________________________________________________________________________________________ PLAYER #3 CIRCLE SHIRT SIZE Youth size: S M L XL Adult size: S M L XL Full Name (please print) ___________________________________________ Grade _____________ Age ___________ School/Home School _________________________________________ Player signature _________________________ Mailing address _________________________________ City __________________ State ______ Zip _______________ Phone w/area code ___________________________________________ Email _________________________________ Parent/Guardian Name (if under age 18) ________________________________ Signature ___________________________ __________________________________________________________________________________________________ PLAYER #4 CIRCLE SHIRT SIZE Youth size: S M L XL Adult size: S M L XL Full Name (please print) ___________________________________________ Grade _____________ Age ___________ School/Home School _________________________________________ Player signature _________________________ Mailing address _________________________________ City __________________ State ______ Zip _______________ Phone w/area code ___________________________________________ Email _________________________________ Parent/Guardian Name (if under age 18) ________________________________ Signature ____________________________ WAIVER/RELEASE: The Suring Labor Day Celebration Inc., the management of this event, the Suring Public School District or any official shall not be held responsible for the personal injury of any player or loss of team or individual property during this tournament. By signing the entry form, I assume all risks associated with my attendance and participation in this tournament. Furthermore I understand that the sport of basketball at times is sport and therefore may result in injury to me and/or other players.