For more information, please contact Cortez Washington

(870) 733-6702

cvwashington@asumidsouth.edu

Liability: By completing this application for competition, all participants and all team members participate at their own risk and hereby, for myself, my heirs, executors, administrators, and assigns, waive, release and forever discharge all organizations in any manner affiliated with or participating in the coordination of the event, including Arkansas State University Mid-South and Mid-South Community College Foundation, Inc., its board members, staff, judges, officials, committee members, volunteers, all other sponsors, and co-sponsors of the event, and all of their respective advertising and promotional agencies from any and all claims, demands, suits, losses, damages, negligence, harm or injuries or actions which I may have or which may hereafter accrue of my participation in and/or travel to and/or from the event including, but not limited to, any and all personal injuries, illness, damage or loss of any nature suffered by me or any property damage. I further grant full permission for the organizations to use any photographs, video footage and quotations from me in legitimate accounts and promotions of this and future events.

October 1, 201610:00 am at The Dog House

Arkansas State University Mid-South

ê $40 Early Registration for Youth & High School Divisions

ê $60 Early Registration for Adult Men’s & Women’s Divisions

ê Cash Prizes for High School & Adult Divisions

ê Double Elimination

ê 3-4 Person Teams

ê 10 Minute Running Clock/15 point games

Proceeds benefit ASU Mid¯South Athletic Scholarships

asumidsouth.edu/greyhound-5k______________________________________________Player 1 Parent or Guardian signature

______________________________________________Player 2 Parent or Guardian signature

______________________________________________Player 3 Parent or Guardian signature

______________________________________________Player 4 Parent or Guardian signature

THE WORKS

BASKETBALL TOURNAMENT SPONSORS

Tournament LocationArkansas State University Mid-South

Glen F. Fenter Athletic Center

Tournament FormatYouth Division – 5th-8th grade

High School Division – 9th-12th grade

Men’s Adult Division – 18 and over (high school graduate

and above)

Women’s Adult Division - 18 and over (high school

graduate and above)

If there are not enough teams in a division, division may be

combined at the tournament director’s discretion.

Your teams will be placed into the category of your

oldest player or highest grade. This is double elimination

tournament. Teams are guaranteed a minimum of two games.

After two losses, each team is eliminated from the tournament.

Game LengthAll games to 15 points and win by 2 (up to a maximum of

20 points), or 10 minutes on a running clock, whichever

comes first.

Games will begin at 10:00 am. Teams must check-in at

9:30 am. There will be NO specific time given for games

after the first game. Games will start 2 minutes after the

previous game ends.

Officials ALL DIVISIONS – all fouls and violations will be called by

an official of the tournament.

Complete rules and regulations will be provided to each

team on the day of the tournament and are available on our

website: asumidsouth.edu/greyhound-5k/

AwardsYouth Division – 1st Place - Championship T-shirt

High School Division – 1st Place - Cash Prize

Men’s Adult Division – 1st Place - Cash Prize

Women’s Adult Division – 1st Place - Cash Prize

Entry ProceduresPlease read procedures carefully before completing and

submitting this form.

Teams Entry & Deadlines

$40 Advance Registration fee (before September 26) for

youth & high school divisions.

$60 Advance Registration fee (before September 26) for

men’s & women’s adult divisions.

$75 Registration fee for all divisions if registered on day of

the event.

Entry fee must accompany team application in the form

of check, cash or credit card. Checks should be made

payable to MSCC Foundation, Inc.

Mail completed registration form with entry fee to:

MSCC Foundation, Inc.

2000 West Broadway

West Memphis, AR 72301

All proceeds benefit ASU Mid-South Athletic Scholarships.

Team RosterIt is recommended that each team have four players on

their roster. Requests for roster changes after you have

submitted your application must be made in writing and

received by Sept. 26th. An individual can only appear on

one team roster. Violation of this rule will result in automatic

disqualification. Entry fees are non-refundable.

AgePlease provide the age of each player as of

September 1, 2016.

Registration Form

Team Name: ______________________________________

Division:

q Youth (5th through 8th grade)

q High School (9th through 12th grade)

q Men’s Adult (18 and older)

q Women’s Adult (18 and older)

PLAYER 1 Team Captain q Male q Female

Name: ____________________________________________

Phone:____________________________________________

Email _____________________________________________

Date of Birth: ________________________Age: __________

PLAYER 2 q Male q Female

Name: ____________________________________________

Phone:____________________________________________

Email _____________________________________________

Date of Birth: ________________________Age: __________

PLAYER 3 q Male q Female

Name: ____________________________________________

Phone:____________________________________________

Email _____________________________________________

Date of Birth: ________________________Age: __________

PLAYER 4 q Male q Female

Name: ____________________________________________

Phone:____________________________________________

Email _____________________________________________

Date of Birth: ________________________Age: __________

Complete and mail this form with your entry fee.