3780 Old Norcross Rd, B103 S355, Duluth Ga 30096 Phone (877) 764 5550 Fax (636) 216 1830

3780 Old Norcross Rd, B103 S355, Duluth Ga 30096 Phone (877) 764 5550 Fax (636) 216 1830 Email:

TOURNAMENT ENTRY FORM:

DATES: May4th– 6th, 2012 Deadline to Enter: Tuesday April27th 2012 Midnight (12:00) am

LOCATION: North Atlanta, Dekalb, Cobb & GwinnettCounty Locations

COST: Boys & Girls Teams Ages 8u - 14u $225.00 Early Registration $250.00 Late Registration

Boys & Girls Teams Ages15u – 18u$250.00 Early Registration$275.00 Late Registration

Early Registration Deadline: April 27th 2012 Per Team ( Pool Play) + Single Elimination Championship Rounds

Late Registration Deadline : April 28th-May 1st2012 Per Team ( Pool Play) + Single Elimination Championship Rounds

All teams entry fees must be paid online by the early registration deadline or your team entry will not appear on the website as a participating team. Late registrants will be listed on website nightly after online payment is received until game schedule is posted on the Wednesday prior to tournament starting

1st & 2nd place team trophy awarded, 1st & 2nd Place Medals awarded, Finals MVP award given, Tournament T-shirts (on select tournaments) given

QUALIFICATIONS: Open to all AAU, NAYBA, IYBC, USBA, USSSA, YBOA, Rec or school teams & age determination dates are standard AAU guidelines and are listed on our website.

DIVISION:(PLEASE CHECK BOX AND CIRCLE BOYS OR GIRLS DIVISION)

8/u (2nd Grade) Girls / Boys 9/u(3rd Grade) Girls / Boys 10/u (4th Grade) Girls / Boys 11/u (5th Grade) Girls / Boys

12/u (6th Grade) Girls / Boys 13/u (7th Grade) Girls / Boys 14/u (8th Grade) Girls / Boys 15/u (9th Grade) Girls / Boys

16/u (10th Grade) Girls / Boys 17u/18u (11th/12th Grade) Girls / Boys

NAME OF TEAM / CLUB ______

Contact ______Phone Number ______

Address ______

Work (#) ______Cell (#) ______Home (#)______

Email Address ______Alt. Email Address______

PAYMENTS – NO Personal Checks, No Club Checks, No School Checks.

All registration payments can be made online at our website ( from a secure payment link. Acceptable payments are listed below:

Enter Hotel Name, Number & Location Here (Mandatory) Where team is lodging:______

______

Enter Scheduling Requests Here ______

NA¥BA®™

North America Youth Basketball Association

2012 EVENT

TEAM ROSTER FORM

TO BE SUBMITTED WITH TEAM REGISTRATION FORM FOR ALL EVENTS

TEAM CONTACT & INFO / *** Mandatory

(circle one) 9U 10U 11U 12U 13U 14U 15U 16U 17U JR ELIGIBLE SR ELIGIBLE