Tinora “Future Rams” Boys Basketball Program
4th, 5th, and 6th Registration Form
Parent(s) Name(s): ________________________________________________________
Sunday YMCA League and January Scrimmages
_________ Yes, I am interested in playing in the Sunday YMCA League and in the
January Scrimmages and have included payment of $20.
(checks payable to: Rob Mahnke)
__________ No, I am not interested in playing in the Sunday YMCA League or in the
Reversible Practice Jersey
__________ Yes, I need to order a Tinora reversible practice jersey to play in the above
activities. Please circle the appropriate size below and include an
additional check for $20. (checks payable to: Rob Mahnke)
Reversible Jersey Size: Youth Medium Youth Large Adult Small
Adult Medium Adult Large Adult Extra-Large
___________ No, I already have a Tinora reversible practice jersey.
Adult Volunteer Coach
Phone Number: _____________________________
Interest Level: __________Head Coach or _________ Assistant Coach__________
E-Mail: Coach Rob Mahnke at Mahnke@henry-net.com
Phone: Coach Rob Mahnke at 419-576-6690
Return this Registration Form to the Tinora Elementary Office or to Coach
Mahnke by Saturday, November 1, 2008 or earlier!