COMPANY NAME HERE

INSTRUCTIONS Fill out this form completely. Incomplete form will not be processed.

*Rules and Regulations must be downloaded from the website. Team Name__________________________________________ *(Panhandle Athletics reserve the right to reject any team name deemed inappropriate) Team consists of: __ Male __ Female __Co-Ed Competition Capability: __ Recreational __ Competitive Tournament Division (select one): Division I-Recreational (FEE-$100) ____Pee wee (ages 9-10) ____Youth (ages 11-14) ____Varsity (15-17) Division II- Recreational (FEE-$125) ____Rising Stars (18-29) ____Young Gunz (30-39) ____All Stars (40 & Over) Competitive (Cash Prize) (FEE-$150) ____Prime Time (18-29) ____ Prime Time (30-39) ____ Prime Time (40 & Over) *(In unexpected instances where there are fewer than four teams in a division, teams will be “flighted” into the next age division and skill level)

Team Roster TEAM CAPTAIN First Name: ________________________________ Age: _____________________ Last Name: ________________________________ Height: ___________________ Gender: __ Male __ Female Shirt Size (circle) S M L YM YL Address: _____________________________________________________________ City, State: ________________________________ Phone: _____________________ Zip Code: _____________________ E-Mail: _______________________________ How often do you play Basketball? __ Rarely __ Frequently __ Regularly

2014 Panhandle Athletics Registration Roster Form

Three Ways to Register! 1. Accurately fill out and mail this completed form using a check or money order to: Panhandle Athletics 390 South Tyndall Parkway #226 Panama City, Florida 32404 Attn: Panama City Basketball 2. Drop off at Lynn Haven Recreational Center to Michelle. 3. Sign up online at www.panhandleathletics.com using a credit or debit card. Registration ends Friday March 14th @ Midnight

Team Roster PLAYER 2 First Name: ________________________________ Age: _____________________ Last Name: ________________________________ Height: ___________________ Gender: __ Male __ Female Shirt Size (circle) S M L YM YL Address: _____________________________________________________________ City, State: ________________________________ Phone: _____________________ Zip Code: _____________________ E-Mail: _______________________________ How often do you play Basketball? __ Rarely __ Frequently __ Regularly

Team Roster PLAYER 3 First Name: ________________________________ Age: _____________________ Last Name: ________________________________ Height: ___________________ Gender: __ Male __ Female Shirt Size (circle) S M L YM YL Address: _____________________________________________________________ City, State: ________________________________ Phone: _____________________ Zip Code: _____________________ E-Mail: _______________________________ How often do you play Basketball? __ Rarely __ Frequently __ Regularly

Team Roster PLAYER 4 First Name: ________________________________ Age: _____________________ Last Name: ________________________________ Height: ___________________ Gender: __ Male __ Female Shirt Size (circle) S M L YM YL Address: _____________________________________________________________ City, State: ________________________________ Phone: _____________________ Zip Code: _____________________ E-Mail: _______________________________ How often do you play Basketball? __ Rarely __ Frequently __ Regularly OTHER REGISTRATION FEES/PAYMENTS 3 POINT SHOOTOUT CONTEST Fee: $25 per team before March 14th 2014. T-Shirts are only guaranteed if registration is in before March 14th

SPORTSMANSHIP PLEDGE By completing this form, all players accept responsibility for their conduct at the Panhandle Athletics 3 on 3 Basketball Tournament. The event reserves the right to disqualify and eject any individuals and/or teams that behave in an unsportsmanlike manner. If you have any questions please call Coach Will Morris at 850-381-5205 OR email us at panhandleathletics@gmail.com