LINCOLN DODGE BALL TOURNAMENT

REGISTRATION FORM

SEPTEMBER 23, 2006

 

1. Team Captain_______________________ E-Mail Address_____________

Address____________________ City/State_________ Zip_______________

Day Time Phone_____________ Evening Phone___________ GRADE______

 

2. Name ___________________Phone No. __________________E-Mail_______________

            Address_________________________                               GRADE_____________

City_____________________ State________ ZIP____________

3. Name ___________________Phone No. __________________E-Mail_______________

            Address_________________________                               GRADE______________

City_____________________ State ________ZIP____________

4. Name ___________________Phone No. __________________E-Mail_______________

Address_________________________                               GRADE______________ City_____________________ State ________ZIP____________

5. Name ___________________Phone No. __________________E-Mail_______________

            Address_________________________                         GRADE______________

City_____________________ State ________ZIP____________

6. Name ___________________Phone No. __________________E-Mail_______________

            Address_________________________                         GRADE______________

City_____________________ State ________ZIP____________

7. Name ___________________Phone No. __________________E-Mail_______________

            Address_________________________                         GRADE______________

City_____________________   State________ ZIP____________

8. Name ___________________Phone No. __________________E-Mail_______________

            Address_________________________                          GRADE______________

City_____________________ State________ ZIP____________

 

Teams may not exceed 8 members on the roster.  6 players on court with 6 Dodge Balls in play.  Two alternates may rotate in if desired.  Teams may play with as few as 4 players without penalty.

 

REGISTRATION DEADLINE SEPTEMBER 18, 2006

(Must have received registration form by the deadline date)

 

ALL BRACKETS WILL BE POSTED ON OUR WEBSITE BY 8:00PM ON THURSDAY SEPTEMBER 21, 2006    www.railerbasketball.org

 

ALL ENTRIES WILL BE LISTED ON OUR WEBSITE ONCE WE RECEIVE YOUR ENTRY & FEE.  IF YOU ARE NOT LISTED WE DO NOT HAVE YOUR REGISTRATION FORM.

 

DIVISIONS:  JUNIOR-5, 6, 7 & 8 Grades

Text Box: FOR OFFICIAL USE ONLY REGISTRATION FEES:   DATE RECEIVED____________ AMOUNT PAID______________ CASH/CHECK #_____________  

 

                                    SENIOR-9, 10, 11, 12 Grades

                                    OPEN-Out of School                    

 

CLICK LINK FOR WAIVER.

 

MAIL ENTRY FEES TO:    Lincoln Basketball Booster Club

                                                P.O. BOX 803

                                                Lincoln, Illinois  62656