TEAM SIGN UP FORM

TEAM SIGN UP FORM—Form F

West Penn District AAU GIRLS Basketball Championships

Team Entry – Form F

National Qualifier

Check One:

Division One _________________ Division Two__________________

Circle One:

19U/Seniors 17U/Juniors 16U/10^th Grade 15U/9^th Grade 14U/8^th Grade

13U/7^th Grade 12U/6^th Grade 11U/5^th Grade 10U/4^th Grade 9U/3^rd Grade 8U/2^nd Grade

The age groups in Red only offer Division I National Tournaments only

Please Type or Prin

Team Name: _______________________________________________________

Head Coach: _________________________________ Cell Phone at Tournament: _____________________________

Address: _______________________________________ City: ________________________, WI Zip: ____________

Work#: __________________ Home #: ________________ Fax #: _________________ Email: _____________________

Assistant Coach: ____________________________________________________

Address: _______________________________________ City: ________________________, WI Zip: ____________

Work#: __________________ Home #: ________________ Fax #: _________________ Email: _____________________

Assistant Coach: _____________________________________________________

Address: _______________________________________ City: ________________________, WI Zip: ____________

Work#: __________________ Home #: ________________ Fax #: _________________ Email: _____________________

Mail all forms with the Entry Fee to:

Western PA Girls Basketball

c/o 4Sports Athletic Associations

PO Box 1522

Washington, PA 15301

Make all checks payable to 4Sports Athletic Association

Entry fee $325.00