Town: ___________________________ Organization Name: _________________________ How many teams are you entering? 5TH/6TH GRADE:
Boys:
_____ All 6th Grade
Girls:
_____ All 6th Grade
_____ 5 th/6th Combined _____ 5th/6th Combined
_____ All 5th Grade _____ All 5th Grade
7TH/8TH GRADE**: Boys:
_____ All 8th Grade
_____ 7 th/8th Combined
_____ All 7 th Grade
Girls:
_____ All 8th Grade
_____ 7 th/8th Combined
_____ All 7 th Grade
**Does your middle school have a split season? If yes, please explain: _______________________ ______________________________________________________________________________________ ______________________________________________________________________________________ **Preference for game days? (Circle one)
Weekday
Weekend
Comments/additional information: _______________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Please list a coach (or contact person if coach is not selected yet) for each team: Team: ______________________ Contact: ____________________ Phone: ______________________ E-mail addresses: (1)________________________________ (2)_________________________________ Team: ______________________ Contact: ____________________ Phone: ______________________ E-mail addresses: (1)________________________________ (2)_________________________________ Team: ______________________ Contact: ____________________ Phone: ______________________
E-mail addresses: (1)________________________________ (2)_________________________________ Team: ______________________ Contact: ____________________ Phone: ______________________ E-mail addresses: (1)________________________________ (2)_________________________________ (please see back side)
COST (checks payable to “G-NG YBA”) 5th/6th grade - $550 per team 7th/8th grade – Home team is responsible for payment and scheduling of two Board official referees when hosting their home game, payment to be made at time of game * Important: Proof of insurance must be provided to participate in Patriot Basketball League *
PLEASE MAIL COMPLETED APPLICATION, CHECK AND PROOF OF INSURANCE BY
OCTOBER 29TH TO: GNGYBA
7 PLEASANT VIEW DRIVE GRAY, ME 04039
WATCH FOR SCHEDULES, DIRECTIONS AND ROSTER SHEETS SOON! We’ll be sending out correspondence on a “Meet and Greet” Coaches Meeting
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Thanks! Page 4 of 29. The Patriot Privacy Kit by Chris Peterson PDF Download.pdf. The Patriot Privacy Kit by Chris Peterson PDF Download.pdf. Open. Extract.
