Thursday, Septembers, 19Q3 Winston-Salem chronicle PaqeA15
Soar like Michael Jordan, shoot like Lar^ Bird
or pass like Magic Johnson at the
MODERN HOOP
3-011-3 Street Basketball Tournament
September 25 & 26 at
Modern Chevroiei'
HOOPS HOTLINE
777-9485
ENTRY FORM • DEADLINE: SEPT. 17
Man your ertiy torni wd $76 entry he to: MODERN HOOP-IT-UP. 353 Jonestown Road, Suite 238, Winstor^Salem, NC 27104
Pick up additional entry forms at the Cheerwine display in all local Food Lion stores.
[PLEASE PRINT LEGIBLY OR TYPE ALL INFORMATION. Team Name
How would you rate your team?
: i:(DO6STicd;iet0rTnlne:y^
Official Use Only:
Top Gun Competitive
Team No:
Recreational Couch Potato
Date:
Mid-Life Crisis Young Guns
Wheelchair
Payment:
CAPTAIN
Num
Sex: Male Female
PLAYER 2
Nmtm
Sex: Male Female
PUYER3
Sex Male Female
PUYER4;
Sex: Male Female
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Ptaywt In HOOP-IT-UP bekire? Y« No
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PIWMlinHOOP-rT-UPtalm? Yw No
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FlayadinHOOP-rT-UPlMlDre? Y« No
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How otiM do you Biw bwkNM?
Hnw flfkin dn ynu play haftb^hfll?
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T-SMtSia: M
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T-StatSin: M L XL XXL
T-SWSbb; M L XL XXL
T-SMSok H L XL XXL
VERYMPORTANT OwoksKhlMl you haws pliywl
□ No Fomul Piling Ev«imu
1 □Cay-QunWte. Uaguo-Mnnwralo
□ HighSolnoiVnty
□ •».OoligtrCologo,T«ni
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PaiMot Quwdiin SgraksalRoquind It playv ■ undw
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VERY IMPORTANT Chock ouch ImI you turn phyod
n No Fomwl Playing Eiporianco
□ Cay-Chwch-noc. Laaguo^nmanurab
□ Hgh School Vanity
□ Jr. CoSagafColaga, loam
□ Sami-Pra/Pio, Taam
Parent ot Guanian Signatxa (Raquirad i plqiot B undM 18)
PlaywSignahn
VERYMPORTANT Chock arehlONl you haw ptqred
l~l No Rmal Pkgiing &eonanoo
□ OyOiurehAac. laoguoMnaaals
□ School varely
□ JI.CalBgaCoaaga.TaaBi
□ Saiat4Vo4Vo,Taii
Parent or Guariwi SignWure (RaqM 8 phgor a indar 18)
VERY MNNXITANT Oiackaachlawlyouhawplaya8
l~1 No Formal Pigling Eiearlanco
□ atyOaachflac. laagua4nltanaaNa
□ IVi School Vanay
□ Jr.CoaagaiCaaagB,Taam
□ SaniHYoIVo,Taam
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Raranl or Guacdan Stgrahaa (HaqM I Nayar e under 1R
Playir St^Wija
P Waiver, Trademark ar>d Management
very player—and their parent or guardian, If the player is under age 1B~mu6! read this Waiver form. Signatures on the registration form signify each person has read, understands and abides by this information. There are rislQ connected with my participation in this tournament and its related activities. I reiease and discharge Streetball Partners, Inc., Hoop-lt-Up, NBC, NBA Properties, Inc., evern sponsors,
event ch^lti« (collectively known as "event organizers') and the workers, employees and directors from action, suits and demands whatsoever in law or in equity, including, but limited to, the risk of injury from playing in the tournament and the risk of loss of personal property by thetl or otherwise. Play eligibility for NCAA, collegiate sports and local school districts vary. The event organizers are not
* determining each player’s eligibility. Before registering, contact your coach or athletic director and ask how your eligibility would be affected, if at all, by registering for this tournament. Further, I hereby grant full permission for event organizers to record any or all of my participafion in this event for photos, motion pictures, TV, radio, recordings, videotapes, and other media known or unkrwwn,
fdto use them, no matter by who taken, in any manner for publicity, promotions, advertising, trade or commercial purposes, without any reimbursement of any kind.due to me, or the need to pay me any lee. •Hoop-lt-Up* Is a registered trademark of Streetball Partners, Inc. The Hoop-lt-Up basketball tournament is produced and managed by Streetball Partners, Inc.