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Last Update: June 16, 2009
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Basketball Coaches Without Boundaries

Fall Basketball League 2009

Basketball Coaches Without Boundaries

2009 Fall Basketball Team Application

Team Name _____________________________________________ Adult, Boys, Girls, Co-ED__________________________

Manager’s Name__________________________________________________ Phone H)_____________(W)_______________

Address___________________________________________________________City__________________________Zip______

E-Mail ____________________________________________________________________________________________

Asst. Manager’s Name______________________________________________Phone (H)_____________(W)_______________

Address______________________________________________________City__________________________Zip___________

E-Mail _________________________________________________________________________________________________

Youth League (grades 3rd to 11th)

$100.00 Deposit before Aug 1st - holds $95 Per Player Rate $___________ Mail to: BCWB, P.O. Box 3528, Frederick, Md 21705

$95.00 Per player before August 1st - $110.00 Per player after August 1st.

Adult League

$65.00 Per Player

Please remember to include Preliminary or Final Team Roster with application and Deposit.

Final Roster and Payment due by August 1, 2009.

I hereby request placement of the above-named team in BCWB Fall Basketball League. I understand that all participants on this team will abide by all rules and regulations set by the BCWB organization. I realize that any falsification of roster or failure to follow league rules may result in the above-named team and its players being dropped from the activity, and forfeiture of all fees paid. Teams dropping out after being accepted risk forfeiture of fees paid. I hereby certify that the above information is correct and understand that the League Director will govern and apply the Fall League rules as he/she deems appropriate.

Manager’s Signature___________________________________________Date______________

Basketball Coaches Without Boundaries

2009 FALL BASKETBALL LEAGUE TEAM ROSTER

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