The tournament entry fee of $125.00 per TEAM must be received before 7/30/10 or your team will not be scheduled.

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

Attn: Jeff McGinnis

1850B General George Patton Drive

Franklin, TN 37067

Contact Jeff McGinnis at 615-377-0055 ext. 14 or e-mail jeffm@usbasports.net

USBA Reserves the right to to change the division you play in based on the demographics of the tournament.

August 6th - 8th 2010

Rim Rockers 3 on 3 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.

TEAMS MUST REGISTER AS A TEAM ---- NO INDIVIDUAL SIGN-UPS

*Team Name:

AGE GROUP

*Team Captain's Name:

*Team Captain's Age (age as of 8/1/10) :

*Team Captain's Email:

*Team Captain's Contact Number:

*Captain's Highest Level of Play:

*Player #2 Name:

*Player #2 Age (age as of 8/1/10) :

*Player #2 Email:

*Player #2 Contact Number:

*Player #2 Highest Level of Play:

*Player #3 Name:

*Player #3 Age (age as of 8/1/10) :

*Player #3 Email:

*Player #3 Contact Number:

*Player #3 Highest Level of Play:

*Player #4 Name:

*Player #4 Age (age as of 8/1/10) :

*Player #4 Email:

*Player #4 Contact Number:

*Player #4 Highest Level of Play:

*Player #5 Name:

*Player #5 Age (age as of 8/1/10) :

*Player #5 Email:

*Player #5 Contact Number:

*Player #5 Highest Level of Play:

In the boxes below enter the number of each Adult T-shirt size needed for your team.

Adult Small:

Adult Medium:

Adult Large:

Adult X Large:

Adult XX Large: