Last
Update: June 20, 2011
BCWB Fall Basketball League 2011 Basketball
Coaches Without Boundaries 2011
Fall Basketball Team Application Team Name _____________________________________________ Boys League or Girls League_____________________________ Manager’s
Name__________________________________________________ Phone
H)_____________(W)_______________ Address___________________________________________________________City__________________________Zip______ E-Mail
____________________________________________________________________________________________ Asst.
Manager’s Name______________________________________________Phone
(H)_____________(W)_______________ Address______________________________________________________City__________________________Zip___________ E-Mail
_________________________________________________________________________________________________ Before August 1, 2011 $95.00 Per Player After August, 1, 2011 $130.00 Per Player Mail to:
BCWB, P.O. Box 3528, Frederick, Md 21705 Please remember to include Preliminary or Final Team Roster with application. (Note: Senior Division III teams are limited to only three 12th grade players (seniors in high school per team) 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
2011
FALL BASKETBALL LEAGUE TEAM ROSTER
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