Xtreme Hoops
TOURNAMENT ROSTER FORM
Team Name:
City Representing:
Competitive Level:
Division 1
Division 2
Contact Person:
*
Address:
*
City:
*
State, Zip:
<Select>
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
Armed Forces Americas (AA)
Armed Forces Outside Americas (AE)
Armed Forces Pacific (AP)
New Brunswick
Newfoundland
Alberta
Northwest Territories
Nova Scotia
Prince Edward Island
Quebec
Saskatchewan
Ontario
Yukon Territory
Manitoba
British Columbia
None
*
*
Phone:
*
Email:
Division:
Boys - 10 & Under 4th Grade
Boys - 11 & Under 5th Grade
Boys - 12 & Under 6th Grade
Boys - 13 & Under 7th Grade
Boys - 14 & Under 8th Grade
Boys - 15 & Under 9th Grade
Boys - 16 & Under 10th Grade
Boys - 17 & Under 11th Grade
Girls - 10 & Under
Girls - 11 & Under
Girls - 12 & Under
Girls - 13 & Under
Girls - 14 & Under
Girls - 15 & Under
Girls - JV
Girls - Varsity
*
Coach:
*
Tournament(s):
TOURNAMENT DATES
July 31
$175.00
Sacramento -
at Hardwood Palace
July 24-25
$225.00
Sacramento -
at Hardwood Palace
August 7
$175.00
Sacramento -
at Hardwood Palace
August 14
$175.00
Sacramento -
at Hardwood Palace
August 21
$175.00
Sacramento -
at Hardwood Palace
August 28
$175.00
Sacramento -
at Hardwood Palace
September 11-12
$225.00
Sacramento -
at Hardwood Palace
September 18-19
$225.00
Sacramento -
at Hardwood Palace
September 25-26
$225.00
Sacramento -
at Hardwood Palace
October 2-3
$225.00
Sacramento -
at Hardwood Palace
October 9-10
$225.00
Sacramento -
at Hardwood Palace
October 16-17
$225.00
Sacramento -
at Hardwood Palace
October 23-24
$225.00
Sacramento -
at Hardwood Palace
October 30-31
$225.00
Sacramento -
at Hardwood Palace
November 6-7
$225.00
Sacramento -
at Hardwood Palace
November 13-14
$225.00
Sacramento -
at Hardwood Palace
November 20-21
$225.00
Sacramento -
at Hardwood Palace
December 4-5
$225.00
Sacramento -
at Hardwood Palace
December 11-12
$225.00
Sacramento -
at Hardwood Palace
December 18-19
$225.00
Sacramento -
at Hardwood Palace
TEAM ROSTER
PLAYER
1
:
Name:
Uniform # :
Birthday:
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
12+
PLAYER
2
:
Name:
Uniform # :
Birthday:
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
12+
PLAYER
3
:
Name:
Uniform # :
Birthday:
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
12+
PLAYER
4
:
Name:
Uniform # :
Birthday:
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
12+
PLAYER
5
:
Name:
Uniform # :
Birthday:
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
12+
PLAYER
6
:
Name:
Uniform # :
Birthday:
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
12+
PLAYER
7
:
Name:
Uniform # :
Birthday:
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
12+
PLAYER
8
:
Name:
Uniform # :
Birthday:
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
12+
PLAYER
9
:
Name:
Uniform # :
Birthday:
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
12+
PLAYER
10
:
Name:
Uniform # :
Birthday:
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
12+
PLAYER
11
:
Name:
Uniform # :
Birthday:
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
12+
PLAYER
12
:
Name:
Uniform # :
Birthday:
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
12+
IMPORTANT INFORMATION
(After reading, please check the box next to the statement indicating that you understand and agree.)
I hereby authorize the staff of Xtreme Hoops to act for me according to their best judgement in any emergency requiring medical attention, and I hereby waive and release the facility and Xtreme Hoops from any and all liability for any injuries incurred while at any Xtreme Hoops facility. I have no knowledge of any physical impairment that would be affected by my participation in the Xtreme Hoops program. I also understand that Xtreme Hoops retains the right to use for publicity and/or advertising purposes any photographs of any participants taken at Xtreme Hoops events.
I understand and agree to pay a $150 per game
forfeit fee
should my team forfeit, plus my team will not be allowed to participate in an Xtreme Hoops Tournament for up to six (6) months following the forfeit.
If you have questions, please contact:
royce@xtremehoops.net
.
All tournaments at Hardwood Palace!
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