Team Name:________________________________________________Age Group:___________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
No._____Name:___________________________________________________Ht:________Grad Yr._____
Address:_______________________________________City:__________________St:______Zip:_______
Home Phone:______/_____________School:_____________________________Email:________________
Coach Name:____________________________________________
Coach Address:__________________________________________H.Phone:_____/____________
City:__________________ST:______Zip:______Cell#:______/__________________
Contact Name:_________________________Email:________________________H.Phone_____________
I hereby certify that the members of the team named above meet the age requirements
stipulated by the Nike Memorial Midwest Showdown Tournament. I also certify that
each of the above named players is covered by a proper accident policy of insurance.
In consideration of your accepting this team roster, I hereby for the team, myself,
heirs, executor, administrators, and assignees waive and release any and all damages
incurred at the said tournament.
Coach's Signature:________________________________ Date:________________________
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