MAYB/General Information page

Register

Summer 2008

Fill out this form, print it out, and fax it to us at 316-284-0294 only if you will be supplying a credit card number with expiration date. VISA, MASTERCARD and DISCOVER accepted.

Team Name:
Area Director:

2007-2008 Grade Level: Boys: 3rd/ 4th 5th 6th 7th 8th 9/10th 11/12th Girls: 3rd/4th 5th 6th 7th 8th 9/10th 11/12th (MAYB reserves the right to combine age groups if necessary. No team would ever play more than one age group up or down.)	Coach:
	Address:
	City:
	State:
	Zip:
	Home Phone:
	Work Phone:
	Cell Phone:
	Fax:
	Email:

Entry Level: Please select your competitive level. You may use the scale below as a guide if not previous MAYB exposure. In events with enough teams A,B and possibly C brackets will be used to divide competition levels. Please contact our office if you have a question concerning your rating. (316) 284-0354
Most Competitive				Least Competitive
10 9 8 7 6 5 4 3 2 1

Team Contact:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
Fax:
Email:
In consideration of being allowed to participate: I, , the undersigned representative of above listed team, waive all claims for injury, accident, or loss of any kind and hereby release Mid America Youth Basketball and all associated gymnasiums, their employees, members and representatives from any claims. In addition, I verify that all information contained on this form is accurate.
Date:
SPECIAL REQUESTS: (WE WILL ATTEMPT TO HONOR ANY SPECIAL REQUESTS FOR SCHEDULING. WE CANNOT GUARANTEE THAT THEY CAN ALWAYS BE MET, BUT WE WILL TRY.) PLEASE LIST BELOW:
ALL ROSTER CHANGES ARE TO BE MADE IN WRITING TO THE HOME OFFICE AT LEAST 48 HOURS PRIOR TO THE START OF A TOURNAMENT. ALL CHANGES WILL BE FAXED TO OUR DIRECTOR.
PLEASE HAVE A COPY OF CURRENT YEAR'S GRADE CARD AVAILABLE IF QUESTIONS REGARDING A PLAYER'S ELIGIBILITY ARISE.
ENTRY FEES ARE NOT REFUNDABLE AFTER THE REGISTRATION DEADLINE OF THE TOURNAMENT.
Your team is NOT officially entered into ANY tournament until your completed registration form, roster, signed waiver, and payment is received!
ROSTER
Name	Num-ber	Height	07-08 Grade	Hometown




















List all previous tournament placements and awards for use in our program: (Individual as well as team)
MAYB Tournament Selections
Date	Tournament