MUSLIM BASKETBALL LEAGUE OF MEMPHIS INDIVIDUAL REGISTRATION FORM

2012-2013 SEASON (Age 16+)

League Fee: $25.00 per player

Registration Dates: October 19, 2012 - November 11, 2012

Season Dates:November 16, 2012 - February 10, 2013

Pay Online or Make checks payable to:

Muslim Basketball League of Memphis
10225 Humphrey Road
Cordova, TN 38018

For information call: Sameer Mansour (901) 238-5017

Website: www.memphisislamiccenter.org/sports

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    Waiver

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