2006 Boys and Girls National Championship Tournament -
Columbus, Georgia
June 24-30

Registration Form

Association Name                                  YBOA Association # 06- _______

Association Director’s Name                                         Team Name                                           

Coach’s Name                                                          Age Division           # of Players                 

Coach’s Address                                                                                                                

City                                                                      State           Zip                                   

Home Phone (       )         Work Phone (    )   -             Fax (    )                 -       

Email Address                                                               Cell (         )              -   

                                                                                                                                                                        Cell or other emergency contact # Mandatory

Accommodations:  Our team is  staying at ____________________________________________, and has  reserved _______ rooms arriving ______________ and departing _______________.  Accommodations must be listed in order for your registration form to be accepted.   (All teams must stay in a YBOA-approved facility.)

 

Roster Information:  I have attached our tournament roster to the tournament application.

 

Payment Information:  Entry Fee is $595 per team, plus $100 performance bond per team.  Performance bonds will be refunded within 90 days of the completion of the tournament provided all scheduled games have been played, mandatory meetings were attended, no damages occurred to the hotel, gyms, etc..., and that your team complied with all tournament requirements, including staying at a YBOA-approved facility for the duration of the tournament.  A $75.00 administration fee will be kept on all cancellations.  No refunds will be given after Monday, June 5, 2006.  

 

By signing below, I acknowledge that I have read this form in its entirety and that my Association and all teams will abide by all of the Tournament Rules and Regulations. 

 

Signature                                                                                                                        

 

Please indicate enclosed method of payment:    Cashier’s Check ____ Money Order ____ Visa ____ MasterCard ____

(No personal or team checks will be accepted.  An administrative fee of $20.00 will be added to all credit card charges.)

 

Card #                                                                                                                                                Exp. Date                                              

Cardholder’s Name (please print)                                                                                                                                                                          

Cardholder’s Signature                                                                                                                                                                                    

 

NO FAXES OR PHOTOCOPIES WILL BE ACCEPTED.  ALL ENTRIES MUST BE SUBMITTED ON ORIGINAL FORMS.

Please send completed original registration form, roster, and entry fee(s) to:

 

East Marietta Basketball, Inc.    33 Weatherstone Parkway      Marietta, GA  30068  

William or Joyce Fox       Phone (404) 403-5235         Fax (770) 973-7366

Email: william_fox@yboaga.org    Website: www.yboaga.org