Village of Lewiston Recreation 3-on-3 Boys Basketball Tournament Team Registration Form
Village of Lewiston Recreation Address: 145 N. 4th Street, Lewiston, NY 14092
Contact us at (716) 754-1990 or recreation@villageoflewiston.com
Tournament Date: Monday, January 21, 2019 from 9am-1pm
• Maximum Four Boys per team

• Deadline Monday, January 7, 2019

• $15.00 entry fee per player and will include game shirt, pizza and a drink.

• Age groups: 11 to 13 and 14 to 16 years of age

• Participants must be Town of Lewiston Residents or attend school in Towns of Lewiston/Porter boundaries.

Tournament is bracket style is determined based on the number of teams.

**All team members must complete a liability release and emergency number form, which is attached to this form.**

Team Name *
Your answer
Team Age Group *
Required
Player 1 (Captain) Name *
Your answer
Player 1 (Captain) Home Address *
Your answer
Player 1 (Captain) Phone Number *
Your answer
Player 1 (Captain) Date of Birth *
MM
/
DD
/
YYYY
Player 1 (Captain) School Attending *
Your answer
Player 1 (Captain) T-Shirt Size *
Required
Player 2 Name *
Your answer
Player 2 Home Address *
Your answer
Player 2 Phone Number *
Your answer
Player 2 Date of Birth *
MM
/
DD
/
YYYY
Player 2 School Attending *
Your answer
Player 2 T-Shirt Size *
Required
Player 3 Name *
Your answer
Player 3 Home Address *
Your answer
Player 3 Phone Number *
Your answer
Player 3 Date of Birth *
MM
/
DD
/
YYYY
Player 3 School Attending *
Your answer
Player 3 T-Shirt Size *
Required
Player 4 Name (Optional)
Your answer
Player 4 Home Address (Optional)
Your answer
Player 4 Phone Number (Optional)
Your answer
Player 4 Date of Birth (Optional)
MM
/
DD
/
YYYY
Player 4 School Attending (Optional) *
Your answer
Player 4 T-Shirt Size (Optional)
I understand that EACH player will have to pay $15 and that covers the cost of team t-shirts, pizza and drinks. *
Required
3-on-3 Boys Basketball Tournament Flyer
3-on-3 Boys Basketball Tournament Liability Form
3-on-3 Boys Basketball Tournament Rules
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