Location-Shaker
Junior High, Start
Time
(Registration
Deadline (April 2, 2010)
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 $ 140 (check # ., Date ..)
(Registration fee of $140 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
We are not responsible for any lost, misplaced or late
registrations.