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* REQUIRED FIELD
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2011 Boys Teams:*
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5th Grade Team $250.00
6th Grade Team $250.00
7th Grade Team $250.00
8th Grade Team $250.00
9th & 10th Grade Team $250.00
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| Team Name* |
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| Coaches Name:* |
First:
Last:
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| Address Line 1:* |
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| Address Line 2: |
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| City:* |
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| State:* |
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| Region (if outside U.S.): |
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| Zipcode:* |
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| Home Phone:* |
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| Work Phone: |
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| E-mail:* |
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Credit Card Information
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| Card Type:* |
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| Card Number:* |
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| Expiration:* |
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Card Verification Number:*
CVV NUMBER IS A 3 OR 4-DIGIT NUMBER
LOCATED ON BACK OF CARD
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I, the team/club representative or team/club coach of * (state team/club name), here to referred to as "competing team" state that all team/club coaches and athletes representing competing team are insured or will be insured prior to the start of the Syracuse Select Basketball Tournament, in fact, I fail to register any coach or athlete, I hold, Syracuse Select Basketball or any of its sponsors or competition facilities harmless from any liability, direct or indirect, from either my or any of the athletes or coaches representing competing team and the team's involvement or participation in the Slam Fest Tournament.
I agree that any litigation costs incurred by the organizers of the 2011 Holiday Basketball Tournament as a result of competing team’s failure to make payment for any reason, including checks returned for insufficient funds, will be the sole responsibility of the competing team.
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* I am qualified to represent the team/club noted above. I have read the Waiver above and AGREE to all terms and conditions
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Check box if you agree.
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SPECIAL REQUESTS will be handled on a first come first serve basis. Syracuse select Basketball and Slam Fest will meet all SPECIAL REQUESTS within that reason, but listing a SPECIAL REQUEST does NOT guarantee that it will be met.
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Special Requests: |
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