Meet in the Middle Winter Classic Fil-Am Basketball Tournament Team Registration Form

Meet in the Middle Winter Classic Basketball Tournament

TEAM REGISTRATION FORM

(Please Type or Print)
Today’s date:
TEam INFORMATION
Team Name:
School/Organization:							Main Contact Person:
Street Address:							Home Phone Number:			Mobile Phone Number:
							(          )			(          )
City:			State:		ZIP Code:		Email Address:
Coach:			Mobile Phone Number:				Team Captain:			Mobile Phone Number:
			(          )							(          )
Questions/comments/scheduling requests
Please use this space to share any information or requests you have for Meet in the Middle Classic Staff.  Feel free to contact us directly at (559) 790-1436 or russell@xoevents.org
For internal use only
Date Form Received:	Fee Amount Received:	Payment Method		Check #		Balance Due:		Date of Deposit:	Received by:
Notes:

·         “EARLY BIRD” TOURNAMENT REGISTRATION FEE = $275.00 (CASH, CASHIER’S CHECK, or MONEY ORDER made payable to RUSSELL RAYPON) if received by January 7, 2011. You will get an email confirmation that your payment has been received.

·         LATE REGISTRATION FEE = $300.00 from January 8 – 15, 2011.  Any team that has not paid the full registration fee by its first scheduled game will forfeit its initial payment and be disqualified from competition.

·         Please mail Registration Form, Team Roster/Liability Waiver Form, and Registration Fee to:

Russell Raypon

X’s & O’s Basketball Foundation, Inc.

6150 North Dolores Avenue

Fresno, CA 93711