London Gold Medalbasketball Club

London Gold MedalBasketball Club

Basketball OntarioSanctioned Tournaments

2017 Registration Form

(Please Check One)

GIRLS – GIRLS - GIRLS / BOYS – BOYS - BOYS
DATE / AGE GROUP / LEVEL / COST / DATE / AGE GROUP / LEVEL / COST
Nov 5/6, 2016 / Major Bantam Girls / AA/AAA; / $525 / Jan 14/15 / Novice Boys / A/AA / $500
Jan 14/15 / Atom Boys / A/AA / $525
Jan 14/15 / Major Atom Boys / A/AA / $525
Jan 21/22 / Major Midget
Girls / A/AA; / $525 / Dec 17/18 / Bantam Boys / A,
AA/AAA / $525
Jan 21/22 / Junior Girls / A/AA / $525 / Jan 21/22 / Major Bantam Boys / A, AA/AAA / $525

Entries will be accepted on a priority basis when BOTH the registration forms and cheque(s) are received. Team rosters are due at least two weeks prior to tournament. If you are entering more than one team, please use separate registrations and roster forms for each team.

Full Team Name : ______(A, AA)

Team Contact: / Position:
Address: / City:
Postal Code: / Cell:(required)
Daytime #: / Evening #:
Email:(required) / Fax:
Alternate Team Contact: / Position:
Address: / City:
Postal Code: / Cell:(required)
Daytime #: / Evening #:
Email:(required) / Fax:

Questions can be directed to Ian Cheng (519)

Notes:2 days tournament are pool play – 4 games guaranteed, top 4 teams get the medal

London Gold Medal Basketball Club

Basketball Ontario Sanctioned Tournaments

Team Roster Form

Please attach this Team Roster to your Registration Form

& submit no later than 2 weeks before your selected tournament.

FULL Team Name:______

(i.e. Burlington Panthers Bantam Boys 1 – be sure to indicate if#1, #2 or A/B etc.)

Category of Play: (A/AA/AAA):______COLOURS > Home:______Away:______

No.
Home Away / Name / Date of Birth
d/m/yr
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Team Contact Information:

Name & Position / Phone / Cell / email

Please submit registration form & registration fee payable to “Gold Medal Teams Account” and team roster to:

Gold Medal Basketball Club, 6 Pinegrove Crescent, London, ON N6J-3Y9

For more info, call Ian Cheng (519) 521-1225 or

Please Contact CSTT for your team hotel needs. Thanks

Janice Scott
Team Consultant
CSTT Sports Management International
Toll Free 1-800-304-6346 ext 221
Phone 519-433-6677 ext 221
Fax 519-433-7040

Gold Medal Basketball Girls
January 9/10, 2016
Saunders Secondary School
H B Beal Secondary School
South Secondary School
Regina Mundi College
John Paul II Secondary School
Mother Teresa Secondary School

Janice Scott ext 221
Phone Toll Free: 1-800-304-6346 x 221
CSTT Contact:Janice Scott
Top of Form
Bottom of Form
Hotel / Amenities / Room & Price / Details / Status
Courtyard Marriott
864 Exeter Rd
London, ON
Canada /

Deluxe Continental
PREFERRED HOTEL
Indoor Pool
More Details

QQ N/S $124.00
1 BR K +D p/o $144.00
1 BR QQ+ D p/o $144.00

/ / Sold Out
Holiday Inn & Suites
855 Wellington Road
London, ON
Canada /

Indoor Pool
PREFERRED HOTEL
More Details

DD N/S $119.00
Fr. Door Suites N/S $129.00
Corner Suite N/S $129.00

/ / Available
Delta Armouries
325 Dundas Street
London, ON
Canada /

Indoor Pool
PREFERRED HOTEL
More Details

Q + Pull/Out NS $114.00

/ / Available
Four Points Sheraton
1150 Wellington Road
London, ON
Canada /

PREFERRED HOTEL
Indoor Pool
More Details

QQ N/S $125.00
Tower King Suite N/S $140.00
Tower Double Suite $150.00

/ / Available
Hilton
300 King Street
London, ON
Canada /

Indoor Pool
PREFERRED HOTEL
2 Night Minimum Stay
More Details

DD N/S $125.00
DD Deluxe N/S $145.00

/ / Available
Homewood Suites
45 Bessemer Rd.
London, ON
Canada /

Hot Breakfast
Indoor Pool
PREFERRED HOTEL
More Details

Studio K+ D p/o $129.00
K- 1Bed + D p/o $139.00
1 BR QQ+ D p/o $149.00

/ / Sold Out
Days Inn
1100 Wellington Rd
London, ON
Canada /

PREFERRED HOTEL
Outdoor Pool
More Details

DD N/S $89.00
QQ N/S $95.00

/ / Available
Holiday Inn Express Hotel & Suites
374 Dundas Street
London, ON
Canada /

Hot Breakfast
PREFERRED HOTEL
More Details

QQ N/S $125.00

/ / Available
Quality Suites
1120 Dearness Drive
London, ON
Canada /

Hot Breakfast
PREFERRED HOTEL
More Details

DD Suite N/S $105.99
King + P/out N/S $105.99

/ / Available
Hampton Inn
840 Exeter Rd.
London, ON
Canada /

Hot Breakfast
PREFERRED HOTEL
Indoor Pool
2 Night Minimum Stay
More Details

QQ N/S $119.00

/ / Available
Motel 6
810 Exeter Road
London, ON
Canada /

PREFERRED HOTEL
Indoor Pool
More Details

QQ N/S $95.99
QQ + Fr/Mi nsmk $99.99

/ / Available
Ramada Inn
817 Exeter Road
London, ON
Canada /

PREFERRED HOTEL
Indoor Pool
More Details

DD N/S $115.00
QQ N/S $125.00

/ / Available
Comfort Inn
1156 Wellington Rd.
London, ON
Canada /

Deluxe Continental
PREFERRED HOTEL
More Details

DD N/S $87.99
Q+single p/o NS $87.99

/ / Available
Station Park All Suite Hotel
242 Pall Mall Street
London, ON
Canada /

Deluxe Continental
PREFERRED HOTEL
More Details

DD Superior N/S $149.00
Superior K Suite $149.00
Deluxe 2D, N/S $129.00
Deluxe King NS $129.00

/ / Available
Staybridge Suites
824 Exeter Road
London, ON
Canada /

Buffet
PREFERRED HOTEL
Indoor Pool
More Details

1 Bdrm DD NS $134.99
StudioQ+dbl p/o $124.99

/ / Available
Residence Inn Marriott
383 Colborne Street
London, ON
Canada /

Hot Breakfast
PREFERRED HOTEL
2 Night Minimum Stay
More Details

1 BR K+Sgl p/out $124.00
1 BR QQ+Sgl p/out $134.00
2 BR K+K+Dp/o $154.00

/ / Available

Gold Medal Basketball Boys
January 16/17, 2016
Saunders Secondary School
H B Beal Secondary School
South Secondary School
Regina Mundi College
John Paul II Secondary School
Mother Teresa Secondary School

Janice Scott ext 221
Phone Toll Free: 1-800-304-6346 x 221
CSTT Contact:Janice Scott
Top of Form
Bottom of Form
Hotel / Amenities / Room & Price / Details / Status
Best Western Plus Lamplighter Inn
591 Wellington Road
London, ON
Canada /

PREFERRED HOTEL
Indoor Pool
More Details

QQ N/S $99.00
QQNW Pet $99.00

/ / Available
Holiday Inn & Suites
855 Wellington Road
London, ON
Canada /

PREFERRED HOTEL
Indoor Pool
More Details

DD N/S $119.00
Suite 1K + Qp/o $129.00