BBA Halloween Jam October 17th – 19th 2014 Miramar, FL Team Name_____________________________ Registration #___________________________ Coach _________________________________ Home Phone____________________________ Work Phone ____________________________ Please circle one: Boys Girls Address________________________________ Address_____________________________ City ____________________Zip____________ Cell Phone______________________________ Email __________________________________ Note: Divisions may be combined if there are not a minimum of 4 teams per grade. Please circle the grade level that your team is entering 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 3 Game Guarantee For additional information please feel free to contact us: Make checks payable to: Broward Basketball Association Mail Entries to: Broward Basketball Association 12826 sw 30th street Miramar, FL 33027 $310 Entry fee is required with the mailing of this form __Check Steve Graham 12826 SW 30th street Miramar, FL 33027 617-‐780-‐2256 [email protected] This form must be completed and returned by: October 7th 2013 __Money Order The tournament schedule will be available on our webpage @ www.flahoops.org Florida State Office (813) 991-6445 [email protected] Once the tournament entry deadline has passed refunds of tournament entry fees will be at the sole discretion of the tournament director. No entry fees will be refunded after the tournament schedule has been posted.
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