3

3-on-3 Basketball Registration Form

< 5-6 Divisions >

Please print a copy of this form and mail it to the address below

DEADLINE: Registration forms and entry fee must be received by Wednesday, March 26. If it is too late to mail your roster and entry fee, please call us directly 712-829-2162. Ask for Jeff Grebin

Division (CIRCLE one) ---->

Adult Men

HS Boys'

JH Boys'

Adult Women
(if enough teams)

HS Girls'
(if enough teams)

JH Girls'

Entry Fee: $20 per team	School Name:
Team Nickname:	Team Captain:
Team Captain phone number:	Team Captain email address:
Team Roster (limit of 5):
1.	4.
2.	5.
3.

Send this registration and entry fee to:

Mr. Jeff Grebin
Stanton High School
605 Elliott Street
Stanton, IA 51573
jeff_grebin AT hotmail.com

Mayhem homepage Mayhem Rules Page

Visit www.stantonschools.com and click on the scrolling March Mayhem marquee.

PLEASE MAKE COPIES TO DISTRIBUTE!! THANK YOU!!