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Basketball Tourney
Registration & Payment

*    Step 1: Team REGISTRATION                                                                           *

 

 

SORRY, we are currently experiencing problems with our online registration form... if you are needing to register now, please
call Natalie at 816-721-3496 --- or please try again later. 

We hope to have this issue resolved by morning, 01-13-12
We apologize for the inconvenience.

 

 

 

 

 

 

 

                                                                                                                                                                                                           Report a Problem with this Form

Step 1 > Register (this page)  ----  Step 2 > Pay (next page)

1.  Read the following information and then proceed to fill out the Team Registration form.

2. Submit the form... you will be taken to our online Credit Card / PayPal payment page where you can
     pay for one or more tournaments for this team.

When filling out the following form, please do NOT use all UPPER CASE LETTERS;
use capital letters only where appropriate.

Use your "TAB" key to forward through the boxes or your mouse cursor.

Note that if you begin filling in the blanks on this page, and then visit another webpage before completion,
that you could risk loosing the data you have already imputed.  Be prepared before you begin.

------------------------------------------------

*You must provide this information

 

Credit Card PAYMENT Information
(We need this information that we can match up this form with your payment)


*Name as it appears on the credit card


*Phone # associated with your credit card

 

*Select Date(s) for Which You Will Pay

 

  Tourney Date

    Tourney Name

January 14, 2012 January Jamboree
January 27, 2012 Winter Shoot-out
February 10, 2012 February Hoop Fest
February 17, 2012 Smithville Classic
February 25, 2012 February Jamboree

 


 

Team Name                     

 

Division - Select one of the following:
 
Division 1 Ultra Competitive  or   Division 2 Competitive  or    Division 3 Developing Competitive
 

Team Gender Male    Female       Age       Grade
                        
                          
 

 
COACH
Address Information 
ALL Required
 

Coach's FIRST & LAST Name


Address

 

 

City

 

State                                Zip
    
 

 

COACH Contact Information    
Required:  E-mail & at least "2" phone #s

 
E-mail Address


Phone #
 
 
                   (include area code)

Cell Phone #

                   (include area code)


Work Phone #

                   (include area code)
 


MANAGER
Address Information   
 
ALL Required

Manager's FIRST & LAST Name


Address

 

 

City

 

State                                Zip
    


MANAGER
Contact Information    
Required:  E-mail & at least "2" phone #s

 

E-mail Address


Phone #
 
 
                   (include area code)

Cell Phone #

                   (include area code)


Work Phone #

                   (include area code)
 .

            

Scheduling Conflicts or other information you would like to share

 

 


TEAM ROSTER Information

 

Player 1:   Name   Jersey #

 

Player 2:   Name   Jersey #

 

Player 3:   Name   Jersey #

 

Player 4:   Name   Jersey #

 

Player 5:   Name   Jersey #

 

Player 6:   Name   Jersey #

 

Player 7:   Name   Jersey #

 

Player 8:   Name   Jersey #

 

Player 9:   Name   Jersey #

 

Player 10: Name   Jersey #

 

Player 11: Name   Jersey #

 

Player 12: Name   Jersey #
 

Ne

Once you have completed the above  form (Step 1) to your satisfaction click 
You will then be taken to (Step 2) our Credit Card / PayPal page where you
will complete the process

                                                                                   

Disclaimer: There will be NO registration refunds made once the tournament schedule is sent out by e-mail
and/or posted to our website OR one day prior to the tournament start, OR once the tournament begins.

                                                                                                                                                                                         ► Report a Problem with this Form