Backcourt Hoops at Riverfront Sports Complex 5 West Olive Plaza Scranton PA 18508 570-558-3833 Fax 570- 558-3835 John Bucci JBucci@backcourthoops.com Jeff Fedak Jeff@backcourthoops.com Mike Shields MShields@backcourthoops.com
Tournament Name: Tournament Fee: $ Team Name: Team Street Address: City: US State: Zip: Boys or Girls Team :
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1. Address City Zip 1. Player's Name Date of Birth Phone 2. Address City Zip 2. Player's Name Date of Birth Phone 3. Address City Zip 3. Player's Name Date of Birth Phone 4. Address City Zip 4. Player's Name Date of Birth Phone 5. Address City Zip 5.
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