The tournament entry fee of $200.00 is due by February 12, 2010.

Make checks payable to: USBA (Ultimate Sports Basketball Academy)

Attn: Stacie Eshenroder

1850B General George Patton Drive

Franklin, TN 37067

Contact Stacie Eshenroder at 615-377-0055 or e-mail stacie@usbasports.com

February 18 - 20, 2010

Freshmen / JV End of Season Basketball Tournament Registration Form

Required fields are marked with an asterisk (*)

USBASports values your privacy. Information collected on this form will never be shared with any third party for any purpose.

*Team Name:

School Name:

*Street Address:

*City, State, ZipCode:

*Email:

Fax Number

*Home Area Code + Phone:

Office Area Code + Phone:

Head Coach:

Team Contact: