Indiana’s Finest Black-cats 2007 AAU Super Regional
Roster
Plainfield, Indiana

                                                                                                                                                                       

AAU CLUB NAME:   _______________________________ AAU CLUB #:   _______________________________                TEAM NAME:  _____________________________

Age: (check)

□ 9U

□ 10U

□ 11U

□ 12U

□ 13U

□ 14U

□ 15U

□ 16U

□ 17U

Div: (check)

□ I

□ II

There will be no additions to entry form after the start of your first game there can only be a maximum of 15 athletes per team.                                                                                                                                                 Must fill in above to qualify

 

Last Name
(alphabetical order)

First Name

Jersey

    #

 

Address

 

City, State

Zip Code

AAU Card #  

 

Player Signature
(for Tournament Sign-in)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Must List Two Adult (18 or Over) Coaches Per Team In signing this document, I verify that as an athlete/coach, I am a registered AAU amateur/coach, according to the AAU code, and that in consideration of your accepting my entry, I, intending to be legally bound, and my heirs and administrators hereby waive and release any and all claims and rights that I may have against the Amateur Athletic Union, the tournament organization, the owner/lesser/operators of the facilities, and their representatives for any and all injuries or losses suffered by me at said tournament. Held under the Sanction of the Indiana District of the Amateur Athletic Union of the United States.

Coach  SIGN  _____________________________________  CARD #

Asst. Coach  SIGN  _____________________________________  CARD #

Coach Name ( print ):

Asst. Coach (print):                                                    

Address:

Address:

City, State, Zip Code:

City, State, Zip Code:

Phone-Home #:                                                              Work #:

Phone #:                                                                    

Fax #:                                                                           E-MAIL:

Bench Personnel :                                                      CARD #: