TRI-STATE Junior Basketball Challenge registration form

Name of team or club:		Contact person:
Postal address:		Street address:
City:		Postcode:
State:		Phone:
Email address:		Fax:
Team/club colours:		Alternate colours:

Please indicate the division that your team(s) will be entering

City Division 1 and 2 teams are only able to enter in Division 1.
If a team is registered for Division 2 they may not have more than 2 city Division 1 or Division 2 players.

All Players to be under age as at December 31st, year of the competition.
Players under suspension in any competition will not be eligible to compete.

Girls		Boys
Division 1	Division 2	Division 1	Division 2
Under 12	Under 12	Under 12	Under 12
Under 14	Under 14	Under 14	Under 14
Under 16	Under 16	Under 16	Under 16
Under 18	Under 18	Under 18	Under 18
Under 20	Under 20