Carolina Preps Tournament Registration Form by gI9lrI


                              February 18-19, 2012
                                  Hosted by: Carolina Preps 5th Grade
Team Name:________________________________________                                 Age Division:____________

Head Coach/Contact:_________________________________                               Boys: _____________


City:__________________________               State:___________          Zip Code:_____________________

Home Phone:___________________________ Work Phone:_______________________________

Mobile Phone:__________________________ Email Address:______________________________

Assistant Coaches:__________________________________________________________________

(Deadline is Feb. 8th for Entry Form and Payment) – Multiple Team Discount Available

*Payment must be received before your team is placed on the schedule!

**Venue: T.W. Andrews High School, 1920 McGuinn Drive, High Point NC 27265

** Detailed tournament rules and player eligibility information is available at

Cashier Checks or Money Orders must be received to be entered into the tournament. Payable to:
Carolina Preps and mail Entry Form and Check to: P.O. Box 16027, High Point, NC 27261. Contact
Keyford Langley at 336-687-0623 or for more information.

By signing this form, I, as team representative for the _______________________ (Team Name), agree
not to hold the Carolina Preps Basketball Organization, either staff or volunteers of our organization,
the tournament volunteers, the hosting facility or its’ staff liable for any injury or illness that comes from
involvement in this tournament.

_______________________________ Signature of Team Representative __________ Date

_______________________________ Printed Name of Team Rep. ____________Date

To top