West Penn District AAU Boys 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 Print:

·        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:

West Penn AAU

Attn: Boys Basketball                                             Team Entry Fee for all ages: $325.00

P.O. Box 857

McMurray, PA 15317