Adidas/SlamJam Women's Basketball Classic

2001 Fall League Registration Form

TEAM NAME:  _______________________________________________

1. Name of Player:  ____________________________________________

2. Address: ___________________________________________________

3. City and State: ______________________________________________

4. Zip Code: ___________________________________________________

5. Player's Telephone Number: _________________________________

6. Parent's Name: _____________________________________________

7. School:  ____________________________________________________

8. Grade: _____________________________________________________

9. Height: _____________________________________________________

10. Age and D.O.B: ____________________________________________

11. Hobbies:__________________________________________________

12. High School Coach's Name: ________________________________

12. High School Coach's Email: ________________________________

Note: Make the necessary copies for each player!!  All information must be filled out. You must provide a home phone number for your players or paperwork will not be accepted. Please print neatly.

Official Sponsors adidas America * Old Navy  * Slam Magazine * Magic Johnson Theatres     Department of Youth and Community Development (DYCD)          Friends of Frederick E. Samuel Foundation Inc.                             Mandatory Registration Forms