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

  

 

Backcourt Hoops 3on 3 Online Registration Form:

Solution Graphics
[Note: After submitting form, you will be taken to a screen from which you can pay online via safe, secure PayPal with your credit card or online check. You will also be given information on how to pay by check instead.]

Tournament Name:          

Tournament Fee:           $ 

Team Name:                    

Team Street Address:    

City:                                   

US State:                               Zip:    

Boys or Girls Team     :    

Age   Group / Grade    :       Shirt Sizes

Captains Name:               

Captains Email:                  (required)

Captains Telephone:          (required) with area code

Captains Cell  Phone:        (required) with area code 

       Player's Name                              Date of Birth             Phone

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.     

  Type yes (lower case) in this box stating  that you agree and accept all rules & terms of Conditions as stated on the official Entry form  

 

 

PAYMENT: After you click the Send Registration button, you will be
taken to a screen where you can send payment via safe, secure PayPal! You will also see information on how to pay by check instead.

 

 

 





Girls AAU    nepaflames.com
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570-558-3833
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Copyright © 2006 Backcourt Hoops    Last modified: 06/29/08

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