Mandan Girls Backboard Booster Club

Mandan Braves Fall Classic

Boys and Girls Basketball Tournament

November 12-13, 2022
Tournament Contact: Jason Harris

mbbcgirls@gmail.com

www.mandanbackboard.com
Entry Fee: $165.00 (payable to MBBC)

Deadline: November 4, 2022

Entries will not be accepted after the deadline

Team Name: *

Division *

Boys

Girls

Level - We commit to bracketing as fair as possible but dependent on registration numbers in each level *

A

B

Boys Select Grade *

Girls (select grade) *

3rd

4th

5th

6th

Coach Information

Coach's First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Home Phone *

Cell Phone *

Work Phone

Coach's Email Address (brackets and tournament information will be sent to this address) *

Confirm Email *

Additional Contact Person Information (2nd coach or another contact)

First Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Home Phone

Cell Phone

Work Phone

Email Address

Player Roster

	Player's Name (First, Last)	Grade	Uniform Number
1	Player's Name (First, Last)	Grade	Uniform Number
2	Player's Name (First, Last)	Grade	Uniform Number
3	Player's Name (First, Last)	Grade	Uniform Number
4	Player's Name (First, Last)	Grade	Uniform Number
5	Player's Name (First, Last)	Grade	Uniform Number
6	Player's Name (First, Last)	Grade	Uniform Number
7	Player's Name (First, Last)	Grade	Uniform Number
8	Player's Name (First, Last)	Grade	Uniform Number
9	Player's Name (First, Last)	Grade	Uniform Number
10	Player's Name (First, Last)	Grade	Uniform Number
11	Player's Name (First, Last)	Grade	Uniform Number
12	Player's Name (First, Last)	Grade	Uniform Number

Waiver and Release of Liability

The undersigned waives and releases the Mandan Backboard Booster Club, any of its agents or members and the facilities from any and all liability for injury or damage arising out of the participation in the basketball tournament. The undersigned accepts and assumes all risk of injury inherent in this activity.

*

By checking this box, the submitter of this form verifies that all parents have agreed to the above statement of liability.

Payment

Select Payment Type *

Continue with PayPal ($165)

Send Check for $165 (registration not complete until payment is received)

Checks should be mailed to:

MBBC

PO Box 1066

Mandan, ND 58554