Last Update: June 20, 2011
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BCWB Fall Basketball League 2011

Basketball Coaches Without Boundaries

2011 Fall Basketball Team Application 

Team Name _____________________________________________   Boys League or Girls League_____________________________

Managerís Name__________________________________________________ Phone H)_____________(W)_______________  

Address___________________________________________________________City__________________________Zip______  

E-Mail ____________________________________________________________________________________________  

Asst. Managerís 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. 

Managerís Signature___________________________________________Date______________



Basketball Coaches Without Boundaries

2011 FALL BASKETBALL LEAGUE TEAM ROSTER 

FIRST LAST NAME

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