OHIOBASKETBALL.COM
FALL LEAGUE
REGISTRATION FORM

2007 FALL LEAGUE
starting September 9, 2007

Name _______________________________ Phone _______________________________ Address _____________________________ ____________________________________ Grade __________  Shirt Size ____________ Height __________  Weight ______________ Position ______________________________ School _______________________________ Coach's Name _________________________ Date of Birth _____________  GPA ________

Please complete this form and send it along with your $80.00 registration fee to:

Tucker Neale
18600 Comstock Circle
Middleburg Heights, Ohio 44130
(440) 826-3652