Shamrock Shootout Tournament Application

June 6-7, 2009

Fourth Annual Women's AAU
Sanctioned Basketball Tournament.

REGISTRATION FORM
Circle Age/Division and Level

Divisions: 11U 12U 13U 14U 15U 16U 17U

Level: A B

Team Name____________________________

Address_______________________________

City___________________________________

State/Zip_______________________________

Work Phone____________________________

Email Address__________________________

AAU Club/Team No.______________________

Registration and Entry Deadline: May 25, 2009.

Make check payable to: Rome Lady Rebels.

Mail this form to:

Carl Quance
1505 North Madison Street
Rome, New York 13440

Please list below the names of coaches and players.
Coaches
_________________________________________

_________________________________________

Players
_________________________________________

_________________________________________

_________________________________________
This is an AAU sanctioned event. All players
and coaches must be members of the AAU.
You must submit player and coaches membership
information with your roster.