NORTH/WEST BERGEN/PASSAIC GIRLS BASKETBALL LEAGUE
2007/2008 REGISTRATION FORM
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nwbpregistrationform.pdf
TOWN:___________
3/4TH Grade Coach: Telephone(H) (W)
Address: Email
Cell
5TH Grade Coach: Telephone(H) (W)
Address: Email
Cell
6TH Grade Coach: Telephone(H) (W)
Address: Email
Cell
7th Grade Coach: Telephone(H) (W)
Address: Email
Cell
8th Grade Coach: Telephone(H) (W)
Address: Email
Cell
League Director: Telephone(H) (W)
Address: Email
Cell
Gym Address:
Directions to Gym:
Home Game Night and Game Times:
Mon_______Tues_______Wed_______Thursday_______Fri_______Sat_______Sun_______
Please List Available Dates for Home Games:______________________________________
(If your home night is on Monday, please indicate if your Gym is available on MLK’s Birthday)
Team Colors: Home: ________ Away:________
Please mail registration form and registration fee of $1,050 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. 16, 2007. Payments or town purchase orders must be received no later than December 21, 2007. A late fee of $25 per team will be assessed for payments received after this date.