2008 Tryouts For Penn State College showcase  Team
Coached By Coach O'Brien
Gym Rat Challenge  June 14-15th Albany NY
Penn State July 5-8  State College PA

Tryouts Thursday May 15th 7:30pm
Open to players on Flames O'brien, Flames Imbt & Flames Mannick  Teams   that have paid there full fee.
Cost
Gym rat Tournament entry $500
Penn State Tournament entry $900
Coaches Hotel at Both $500
Per player Cost is $200     we will only be picking one team
DO NOT ATTEND TRYOUTS unless you ARE SURE about the Commitment
 some preference will be  given to HS Juniors
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      Name:  ___________________________________ D.O.B.:___/___/___ Age:____ Grade:____ Height:_______

    Address:___________________________ City:________________ Zip Code:________

      Phone:_____________________________ School:___________________________

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PAYMENT INFORMATION:  Cash____ Check_____ CC (Visa/MC/Am Ex)  $___________ Amount Pd:_________ Balance:___________

 Card Number:____________________________ Exp Date:____________________

 Cardholder Signature:____________________________________________

My child is in excellent physical health and is capable participating in strenuous physical activity, and waives Backcourt Hoops to act for me according to their best judgment in the case of an emergency, requiring emergency attention.  I understand that I am responsible for the payment of any such medical expenses. 

Signature of Parent/Guardian:___________________________ Date:______________

12/08/04 JJF

NEPA Flames Girls AAU Basketball  Club
 Phone 570-558-3833
Backcourt Hoops   www.BackcourtHoops.com  - 5 West Olive Plaza - Scranton PA 18508

Email Jeff@NepaFlames.com

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Last modified: June 04, 2008
 

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