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
Team Name: / (circle one) Boys GirlsNAYBA (or other National) Team Association Number: *** /
(circle one) 9U 10U 11U 12U 13U 14U 15U 16U 17U JR ELIGIBLE SR ELIGIBLE
Head Coach Name & NAYBA Association Number: *** / Address:City : State:
Zip:
Email:*** / Alternate Email:
Home Phone***: / Cell Phone***:
Asst Coach Name & NAYBA #: / Phone:
Asst Coach Name & NAYBA #: / Phone:
Jersey # / Player Name / Birth date
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