2011 3-ON-3 Basketball Tournament Registration Form

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2011 3-ON-3 Basketball Tournament Registration Form Powered By Docstoc
					Last day to register is Thursday, July 28, 2011      PLAYER 3                   PLEASE PRINT LEGIBLY
       ***STRICKLY ENFORCED***                       NAME: ____________________________________
        Specify Division (Circle One)

                                                                                                                                                    3-ON-3 BASKETBALL TOURNAMENT
                                                     ADDRESS: _________________________________

   MEN’S                         WOMEN’S             CITY: __________________ ZIP: _______________
Elementary (10-12)          Elementary (10-12)
Junior High (13-14)         Junior High (13-14)      PHONE:
                                                     (H) __________________ (C) _________________
High School (15-18)         High School (15-18)
   Adult (19+)                   Adult (19+)         AGE: ___________ BIRTHDATE: _______________

Team Name: _______________________________           SIGNATURE: _______________________________                          WHEN:
                              PLEASE PRINT LEGIBLY                                      PLEASE PRINT LEGIBLY
                                                                                                                  SATURDAY, JULY 30, 2011
TEAM CAPTAIN                                                                                                                   AND
NAME: ____________________________________           PLAYER 4
                                                     NAME: ____________________________________                    SUNDAY, JULY 31, 2011
ADDRESS: _________________________________                                                                           GAMES START AT 8:00AM
                                                     ADDRESS: _________________________________
CITY: __________________ ZIP: _______________                                                                       ENTRY DEADLINE:
                                                     CITY: __________________ ZIP: _______________
PHONE:                                                                                                            THURSDAY, JULY 28, 2011
(H) __________________ (C) _________________         PHONE:                                                             by 5:00pm
                                                     (H) __________________ (C) _________________
AGE: ___________ BIRTHDATE: _______________
                                                                                                                  NO LATE REGISTRATION
                                                     AGE: ___________ BIRTHDATE: _______________
SIGNATURE: _______________________________                                                                                WHERE:
                                                     SIGNATURE: _______________________________
                              PLEASE PRINT LEGIBLY                                                                  BOYS & GIRLS CLUB
                                                                                        PLEASE PRINT LEGIBLY
PLAYER 2                                                                                                            OF BLOOMFIELD, NM
NAME: ____________________________________           PLAYER 5
                                                     NAME: ____________________________________                      701 S. 2ND STREET
ADDRESS: _________________________________                                                                         BLOOMFIELD, NM 87413
                                                     ADDRESS: _________________________________
CITY: __________________ ZIP: _______________
                                                     CITY: __________________ ZIP: _______________                           FEES:
PHONE:                                                                                                             $20.00 PER TEAM MEMBER (19+)
(H) __________________ (C) _________________         PHONE:                                                       $20.00 PER TEAM MEMBER (15-18)
                                                     (H) __________________ (C) _________________                 $15.00 PER TEAM MEMBER (13-14)
AGE: ___________ BIRTHDATE: _______________                                                                       $10.00 PER TEAM MEMBER (10-12)
                                                     AGE: ___________ BIRTHDATE: _______________
SIGNATURE: _______________________________                                                                         AGE VERIFICATION IS REQUIRED
                                                     SIGNATURE: _______________________________                   FOR ALL PLAYERS (BIRTH CERTIFI-
  Please return registration form and payment to:
       Boys & Girls Club of Bloomfield, NM           *Liability Waivers, Injury Release, and Code of Conduct        CATE OR DRIVER’S LICENSE )
                 701 S. 2nd Street                    must be signed and on file before a player is eligible to
              Bloomfield, NM 87413                                           participate.                         PRE-REGISTRATION IS REQUIRED.
                  Entry Deadline:                      **Players under the age of 18 must have a Parent /
                   July 28, 2011                      Guardian Waiver signed and on file before he/ she is
           Club Hours: 7:30 am-6:00 pm                                 eligible to participate.                    505-632-0123
    WHO CAN PLAY                                                                 ADDITIONAL INFORMATION
 The BGCB 3-on-3 Basketball Tournament                                          TEAM ROSTER                                                        SCORING
   is open to all boys/girls, men/women                        All teams are required to have a minimum of three,
                                                                                                                          1. A field goal is worth 1 point.
                                                                  but no more than five, players on their rosters.
               in age groups                                  Roster changes WILL NOT be allowed after ENTRY              2. A successful goal from behind the “take back “line
                                                              DEADLINE. No additions and/or substitutions will be         is worth 2 points. The player shooting must have both
                                                                        allowed after ENTRY DEADLINE.                     feet completely behind the line when initiating the at-
            DIVISIONS                                                             ONE ROSTER                              3. Games will be played to 21 points or 25 minutes
                                                                 A player may only appear on one team roster.             whichever occurs first. Win by 2. If time expires, the
  Teams are spilt into men’s and women’s                        Teams playing with members not on the original            team in the lead will be awarded the win, or if the
     divisions based upon age as of                                 roster will be automatically disqualified.            score is tied, the next basket wins.
                                                                                                                          4. NO DUNKING ALLOWED!!
              July 31, 2011.                                                    PLAYER ELIGIBILITY
                                                              The information provided on the application must be                          FOULS & VIOLATIONS
 Boys/ Men and Girls/ Women Divisions                           accurate and verifiable. Players are required to          1. All fouls and violations will be called by the players
        Elementary 10-12 years                                     provide proof of age at registration. Ex: Birth        participating. The player fouled is responsible for
        Junior High 13-14 years                               certificate, valid photo/ driver’s license. Players with-   making the call.
                                                               out proof of age will not be permitted to participate.     2. The player’s foul and violation calls are considered
        High School 15-18 years
                                                                                                                          final, however, in the case of an obvious miscall, the
            Adult 19+ years                                                     LIABILITY WAIVER                          court monitor may change the call at his/her discre-
All team members must be in the same division.                   Every possible effort will be made to ensure the         tion.
Co-ed teams will be placed in the male divisions.                 safety and integrity of facilities and volunteers.      3. The court monitor may call a technical foul for the
                                                                However, the BGCB will not be liable for any loss,        following reasons:
                                                               injury or death related to your attendance at or par-
   All players must have proof of age at                                                                                  a. Unsportsmanlike conduct
                                                              ticipation in the tournament. All participants (or par-
                                                                                                                          b. Intentional foul
registration. Acceptable forms of proof are:                    ents if under age 18) must sign the liability waiver
                                                                                                                          c. Intentional delay of game
     birth certificate or driver’s license.                             before they are eligible to compete.

                                                                            TEAM CANCELLATION                                                         OTHER
The Boys & Girls Club of Bloomfield (BGCB)                    Teams dropping out of the tournament after registra-        1. All games must start and be completed with at least
 reserves the right to modify age groups to                   tion has been completed will not be granted a refund,       two (2) players.
                                                                              NO EXCEPTIONS.                              2. Games are scheduled every half-hour.
                                                                                                                          3. Teams must be at their court at the scheduled time,
                    FEES                                                            WEATHER
                                                                         We will play come rain or shine.
                                                                                                                          even if games are “running behind”. A five minute for-
                                                                                                                          feit time will be strictly enforced.
                                                                                                                          4. The team captain is the sole spokesperson for his/
    $10.00 per team member (10-12)                                                                                        her team.
                                                                                                                          5. Court monitor has the final say. There is no appeal
    $15.00 per team member (13-14)                            PRIZES AWARDED TO EACH DIVISION:                            process. NO EXCEPTIONS!
    $20.00 per team member (15-18)                                 1st Place: Hooded Sweatshirt                           6. The tournament will be double elimination.
     $20.00 per team member (19+)                                 2nd Place: Long-Sleeve T-Shirt                          7. We expect all competitors to exhibit honesty and
                                                                                                                          good sportsmanship in order to preserve the integrity
                                                                    3rd Place: Mesh Sport pack                            of the game.
             All fees due at registration.
    Registration fees include a Tournament t-shirt while                                                                  8. Registration forms and payments must be received
    supplies last. T-shirts are distributed on a first come    Additional Rules and Regulations                           on or before July 28, 2011.
first serve basis and when they are gone, they are GONE.                                                                  9. Club hours: 7:30am to 6:00pm.
                                                                 are available at registration.

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