Team Name: ___________________________________________________ Age Group/Grade ____________
Gender: _____ Male or ____Female --- Team Level: ____Elite (Advanced) or ____Competitive (Intermediate)
Head Coach Name: __________________________________________________________________________
Home Street Address: _________________________________________________________________________
City: ___________________________________________ State: _____________ Zip: ___________________
Phone: ______________________________________________________________________________________
Email: _______________________________________________________________________________________
2012 Fall Basketball Tournaments & Shootouts: Please check all attending:
____ September 21-23 – Pittsburgh Fall Invitational in Pittsburgh, PA (3+ games - $350 per team)
____ September 22 – Pittsburgh Fall 1 Day Shootout #1 ($200 for 2 games or $300 for 3 games)
____ September 23 – Pittsburgh Fall 1 Day Shootout #2 ($200 for 2 games or $300 for 3 games)
____ September 28-30 – Pittsburgh Fall Slam Fest in Pittsburgh, PA (3+ games - $350 per team)
____ September 29 – Pittsburgh Fall 1 Day Shootout #3 ($200 for 2 games or $300 for 3 games)
____ September 30 – Pittsburgh Fall 1 Day Shootout #4 ($200 for 2 games or $300 for 3 games)
____ October 19-21 – Pittsburgh Fall Challenge in Pittsburgh, PA (3+ games - $350 per team)
____ October 20 – Pittsburgh Fall 1 Day Shootout #5 ($200 for 2 games or $300 for 3 games)
____ October 21 – Pittsburgh Fall 1 Day Shootout #6 ($200 for 2 games or $300 for 3 games)
____ November 2-4 – Pittsburgh Fall Wrap Up Tournament in Pittsburgh, PA (3+ games - $300 per team)
____ November 3 – Pittsburgh Fall 1 Day Shootout #7 ($200 for 2 games or $300 for 3 games)
____ November 4 – Pittsburgh Fall 1 Day Shootout #8 ($200 for 2 games or $300 for 3 games)
Fill out Registration Form and Mail with payment and Completed Roster Form to: Basketball Stars of America, c/o Coach Daryn Freedman, 547 Burkes Drive, Coraopolis, PA 15108.
Please make checks out to: Basketball Stars of America.
Online Registration is available at www.basketballstarsofamerica.com