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NWBP Boys Basketball

NORTH/WEST BERGEN/PASSAIC GIRLS BASKETBALL LEAGUE
2011/2012 REGISTRATION FORM

Click on this link if you want to display and print the registration form in Adobe Reader (PDF) format. nwbpregistrationform.pdf

Town:

3rd Grade Coach:

Name:
Street Address:
City State:
Telephone (Home):
Telephone (Work):
Telephone (Cell):
Email:

4th Grade Coach:

Name:
Street Address:
City State:
Telephone (Home):
Telephone (Work):
Telephone (Cell):
Email:

5th Grade Coach:

Name:
Street Address:
City State:
Telephone (Home):
Telephone (Work):
Telephone (Cell):
Email:

6th Grade Coach:

Name:
Street Address:
City State:
Telephone (Home):
Telephone (Work):
Telephone (Cell):
Email:

7th Grade Coach:

Name:
Street Address:
City State:
Telephone (Home):
Telephone (Work):
Telephone (Cell):
Email:

8th Grade Coach:

Name:
Street Address:
City State:
Telephone (Home):
Telephone (Work):
Telephone (Cell):
Email:

League Director:

Name:
Street Address:
City State:
Telephone (Home):
Telephone (Work):
Telephone (Cell):
Email:

Gym Address:

Directions to Gym:

Please List No Play Dates for Home Games:

(If your home night is on Monday, please indicate if your Gym is available on MLK’s Birthday)

Indicate Team Colors:

Home:
Away:
Please mail registration form and registration fee of $1,100 per team to Neil Malmud at 14 Commanche Trail, Oakland NJ 07436. (212-885-0855(w) or 201-337-1186(h). E-mail address is NEIL@JDCNY.ORG). Please make check payable to NWBP Girls Basketball League. Registration forms should be submitted no later than NOV. 12, 2011. Payments or town purchase orders must be received no later than December 17, 2011. A late fee of $25 per team will be assessed for payments received after this date.
|Welcome| |Fall League| |Playoff Schedule| |Playoff Results| |All-Star Game| |Report All-Star Selection| |Tournaments| |Directions| |Rules| |Coaches| |Schedules| |Report Results| |Standings| |Site Map| |AAU Tryout| |Spring League| |NWBP Boys Basketball|


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