Jay Corey Memorial Youth Basketball Tournament
March 12-14, 2010
Falmouth, MA

Please Send To:

Falmouth Youth Basketball
PO Box 796
Falmouth, MA 02541

Contact:

Gus Adams 774-392-2177
Todd Oliveira  tkoliveira32@yahoo.com

Fee: $275.00 per team
Make checks payable to: Falmouth Youth Basketball

Mail Tournament Schedule To: ____________________________________________

Address: _________________________ City: ___________________State: _______Zip________

Town Name: __________________ Team Name: ______________________

Boys:  5th Grade   6th Grade   7th Grade   8th Grade  (Circle One)

Girls:   5th Grade   6th Grade   7th Grade   8th Grade  (Circle One)


 
Jersey #
Player
Date of Birth
Grade
School
1
 
 
 
 
 
2
 
 
 
 
 
3
 
 
 
 
 
4
 
 
 
 
 
5
 
 
 
 
 
6
 
 
 
 
 
7
 
 
 
 
 
8
 
 
 
 
 
9
 
 
 
 
 
10
 
 
 
 
 
11
 
 
 
 
 
12
 
 
 
 
 

Coach: ___________________________

Phone Number: _________________________ email: ____________________________

Please print form and fill in completely.