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

TOURNAMENT ENTRY FORM:

DATES: August 12th – 14th, 2011 Deadline to Enter: Tuesday August 5th , 2011 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: Aug 5th , 2011 Per Team ( Pool Play) + Single Elimination Championship Rounds

Late Registration Deadline : Aug 6th – 9th, 2011 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

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)

8u9u Girls / Boys 10/u Girls / Boys 11/u Girls / Boys 12/u Girls / Boys13/u Girls / Boys 14/u Girls / Boys

15/u Girls / Boys 16/u Girls / Boys 17u18u Girls / Boys

NAME OF TEAM / CLUB ______

Contact ______Phone Number ______

Address ______

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

Email Address ______Alt. Email Address______

T-Shirt Sizes XS_____SM_____Med_____Lg_____XL_____ 2xl_____

Quantity Quantity Quantity Quantity Quantity Quantity

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

2011 EVENT

TEAM ROSTER FORM

TO BE SUBMITTED WITH TEAM REGISTRATION FORM FOR ALL EVENTS

TEAM CONTACT & INFO / *** Mandatory

Team Name: / (circle one) Boys Girls
NAYBA (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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