2017 Roll N Shoot Team Registration
3 on 3 wheelchair basketball Tournament at Courtside, October 21: ARK will accept the first 10 teams to register. The tournament will start at 10 am with a Captain's meeting TBD. Additional Questions: Contact Aulanda at 563-495-1575 or via email at akrause@arkadvocates.org
Email address *
TEAM Captain Name *
Please include your first and last name
Email Address *
Address *
Phone number *
Team name *
Team Sponsor (Company or Organization)
Please email Sponsor Logo
$300 Team Registration will be made by... *
List Team Members (6 include t-shirts) *
Please list members of your team
FREE event t-shirt sizes
N/A
Adult X-Small
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
Participant 1
Participant 2
Participant 3
Participant 4
Participant 5
Participant 6
Extra event t-shirts ($10 each)
N/A
Adult X-Small
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
Participant 7
Participant 8
Participant 9
Participant 10
Participant 11
Participant 12
WAIVER *
In consideration of being permitted to participate in this event, I hereby for myself, my heirs, and personal representatives assume any and all risks which might be associated with the event. I further waive, release, discharge, and covenant not to sue ARK Advocates, its officers, employees, sponsors, organizers, volunteers, or other representatives, or their successors and assigns, for any and all injuries or damage of any kind whatsoever suffered as a result of taking part in the event and/or any related activities. I also agree to the use of any photo, film, or videotape of the event for any purpose.
YES
NO
N/A
Participant 1
Participant 2
Participant 3
Participant 4
Participant 5
Participant 6
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Additional Terms