2010 Basketball Stars of America Fall Basketball Tournament & Shootout Registration Form

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: ____________________________________________________________________________

2010 Fall Basketball Tournaments & Shootouts: Please check all attending:

____ November 6-7 - Pittsburgh Fall Team Tourney in Pittsburgh, PA (3+ games - $300 per team)

____ November 6 - Pittsburgh Fall 1 Day Shootout #5 ($175 for 2 games or $275 for 3 games)

____ November 7 - Pittsburgh Fall 1 Day Shootout #6 ($175 for 2 games or $275 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.
For More Info: Call 412-400-1320 or email bsahoops@gmail.com