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Manhattan Classic

May 21-23, 2010

Registration Form

Rosters and payment must be received by
May 6, 2010

A LIMITED NUMBER OF SPOTS ARE AVAILABLE SO PLEASE MAIL YOUR CERTIFIED CHECK OR MONEY ORDER FOR $450 TO:

Heartland Hoops
9541 Cailler Dr..
Lenexa, KS 66220

Team Name:
Coach:
Home Phone:
Cell Phone:
E-Mail Address:
Division:

Roster:

Player's Name
Jersey#
Grade
Telephone
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

 

Comments:

      

Instructions:
    Submit your registration information by clicking on the "Submit" button below;
    to start over, click on the "Reset" button.

    After submitting your registration, pay on-line (please submit one payment
    per team) with Visa or Master Card by clicking on "Add To Cart" and continue
    with payment processing.

                                           

 

                                      All information ©2009 by Heartland Hoops Basketball and cannot be used without consent.