Location-Shaker Junior High,
Start Time 8.45 AM
(Registration Deadline April 7, 2007)
Team Representative: ____________________________________________________
Category ( 6s):
(circle Division)
(a) Advance Competitive (B/BB or Higher)
(b) Competitive (B level)
(c) Advance
Recreational (B or lower)
( Minimum-6 Players, one female mandatory)- Registration Fee $135 (check # ., Date ..)
(Registration fee of $135 is for team with up to 7 players maximum; add $10 for each additional player)
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General Waiver of Liability: By
signing of this release by the team representative, all named above understand that only the players listed above are
allowed to play in the gymnasiums at Shaker Junior High School, and that the North Colonie Central School
District and personnel, connected with
or representing the North Colonie Central School District, will not be responsible for injury to person
or loss/or damage to property.
Name (Please Print):
_________________ Signature:
_________________
Date_____________________
Mail the check (payable to North Colonie School District) and the Roster to : Vimal Minocha, 10 Skyline Drive , Latham, NY 12110
We are not responsible for any lost, misplaced or late
registrations.