CENTRAL JERSEY HAWKS
SHORE SHOOTOUT

TOURNAMENT APPLICATION

Organization:

Team Name:

GIRLS BOYS

Level of Play:

A B C

Age Group:

Head Coach:

Address:

City:

State:

Zip Code:

Phone #:

Cell Phone:

Fax #:

Email:

*Enter a valid address to receive a confirmation email of your registration

Check this box if you have an insurance liability policy

TEAM ROSTER

---------------Name---------------------

----DOB----

--HEIGHT--

No.

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SPECIAL REQUESTS

TOURNAMENT COST
Girls: $425 ($400 for groups registering 3 or more teams)
Boys: $400 ($375 for groups registering 3 or more teams)

Payment Method:	Check PayPal ($12 convenience charge will be added)
Make payable to: Central Jersey Hawks Basketball Club and mail to:	BOYS TEAMS: Joe Simuro 30 Heather Hill Way Holmdel, NJ 07733	GIRLS TEAMS: James Gallagher 86 Avalon Lane Aberdeen, NJ 07747