OFFICIAL LINCOLN 3-ON-3 REGISTRATION FORM

  MAIL ENTRY DEADLINE:
Friday May 29, 2009
No Late Registration
Click here for online registration form
NEW!! Pay online with PayPal scroll to down to bottom
 
TEAM NAME_____________________________ Reserve the right to change team name
         
TEAM CAPTAIN  
NAME:___________________________ GRADE (09-10):___________
ADDRESS:____________________________    Email Address__________________________
CITY:___________________________ ST:___________ ZIP:___________  
HOME PHONE:__________________________________
AGE:__________ HT:____________ WT:___________ SEX:           M____     F_____
         
Your Playing Experience      
Yes   No    EXPERIENCE Yes   No      EXPERIENCE  
____   ____  Elementary ____   ____    College  
____   ____  Jr. Hi School ____   ____    Open Division-Competitive
____   ____  H.S. 9th-12th Grade ____   ____    Open Division-Non-Competitive
____   ____  High School Varsity      
         
2ND PLAYER              
NAME:___________________________ GRADE (09-10):___________
ADDRESS:____________________________    Email Address__________________________
CITY:___________________________ ST:___________ ZIP:___________  
HOME PHONE:__________________________________
AGE:__________ HT:____________ WT:___________ SEX:           M____     F_____
         
Your Playing Experience      
Yes   No    EXPERIENCE Yes   No      EXPERIENCE  
____   ____  Elementary ____   ____    College  
____   ____  Jr. Hi School ____   ____    Open Division-Competitive
____   ____  H.S. 9th-12th Grade ____   ____    Open Division-Non-Competitive
____   ____  High School Varsity      
         
3RD PLAYER             
NAME:___________________________ GRADE (09-10):___________
ADDRESS:____________________________     Email Address___________________________
CITY:___________________________ ST:___________ ZIP:___________  
HOME PHONE:__________________________________
AGE:__________ HT:____________ WT:___________ SEX:           M____     F_____
         
Your Playing Experience      
Yes   No    EXPERIENCE Yes   No      EXPERIENCE  
____   ____  Elementary ____   ____    College  
____   ____  Jr. Hi School ____   ____    Open Division-Competitive
____   ____  H.S. 9th-12th Grade ____   ____    Open Division-Non-Competitive
____   ____  High School Varsity      
         
4TH PLAYER             
NAME:___________________________ GRADE (09-10):___________
ADDRESS:____________________________    Email Address____________________________
CITY:___________________________ ST:___________ ZIP:___________  
HOME PHONE:__________________________________
AGE:__________ HT:____________ WT:___________ SEX:           M____     F_____
         
Your Playing Experience      
Yes   No    EXPERIENCE Yes   No      EXPERIENCE  
____   ____  Elementary ____   ____    College  
____   ____  Jr. Hi School ____   ____    Open Division-Competitive
____   ____  H.S. 9th-12th Grade ____   ____    Open Division-Non-Competitive
____   ____  High School Varsity      
         
         

MAIL TO:

Lincoln  3 on 3
P.O. Box 803
Lincoln, Illinois  62656

DEADLINE:
FRIDAY MAY 29, 2009


$80.00 Per Team

OFFICIAL USE
ONLY

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