Metro Sports Youth - Shawn Rodgers Round-up Registration

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♦ ♦	The Shawn Rodgers Memorial Scholarship Fund & Leavenworth HS Booster Club! B-Ball-for-All! Weekend Fundraiser 3 on 3 Team Registration October 16-18, 2009

Back to B-ball-for-ALL Info

Need a Coaches Waiver Form?
► MS Word Format or ► PDF Format

ATTENTION!

Please provide ALL requested information for your team.

When typing, please do NOT use all UPPER CASE LETTERS;
use capital letters only where appropriate.

You can use your "TAB" key to forward through the boxes.

Once you have completed the form to your satisfaction click, SUBMIT.

...you will then be taken to our PayPal / Credit Card payment page
where you can complete the registration process.

Note that if you begin filling in the blanks on this page, and then visit another webpage before completion,
that you could risk loosing the data you have already imputed. Be prepared before you begin.

B-Ball-for-All! Weekend Fundraiser
3 on 3 Team Registration

*Name as it appears on the credit card

*Phone # associated with your credit card

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Team Name

Division
Youth Boys   Youth Girls   Adult Men Adult Women

"Youth" Team Grade

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Team Information
ALL Required

Team Contact, FIRST & LAST Name

Address

City State Zip

E-mail Address

Phone #

(include area code)

Cell Phone #

(include area code)

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Player #1

Player #2

Player #3

Player #4

Once you have completed the form to your satisfaction click the SUBMIT button.

...you will then be taken to our PayPal / Credit Card payment page
where you will complete the registration process.

► Report a Problem with this Form

For more details contact:

Natalie Moultrie: 816-222-5829 or 816-721-3496

E-mail ► Natalie.moultrie@twcable.com