MAINE HOOPS - ROSTER/REGISTRATION FORM
                                                              SUNDAY  FALL INVITATIONALS - 2004
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Team Name:________________________ Age Group:_________________ Boys or Girls Team ________
Contact Person:____________________ Phone #:________________  e-mail ______________________
Address:___________________________________________________ Coach:_____________________

Please Check Off Dates Registering For: (2 game guarantee)                                               

October 10 ______   October 17______  October 24 _______  October 31_______                                                                                

Please fill out the information below or submit a roster of your own.  

     Include Coaches				                                                                                                          (if already registered)
      NAME		    ADDRESS	               TOWN / ZIP                  UNIF. #         BIRTH DATE      AAU # 
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Costs:  ______ $150 Per Event - Total Amount Paid _______

Mail Roster with Check to: Lenny Holmes, Maine Hoops  P.O. Box 612  Gorham ME 04038