Coaches Team Registration Winter League 2007/2008

Check Grade Level (as of September 2007):
1st___   
2/3___   4 (8.5')___  
4 (10')___   5/6___  7/8___  9/10___  11/12___

Check:                     Boys ___          Girls ___

Check Ability Level:  A __     B __     C __     D___

Team Name: _______________________________________       

Coaching Information: 

               

Head Coach

Assistant Coach

Name    
Street Address    
City    
State    
Zip    
Home Phone    
Work Phone    
Fax Number    
Email Address    

 Head Coach Information:

 Number of years associated with the Malvern Basketball League: ____    

 Affiliated Schools:             1.) ______________________________________________

                                          2.) ______________________________________________

                                          3.) ______________________________________________

 Preferred Gym Locations:  1.) ______________________________________________

                                          2.) ______________________________________________

                                          3.) ______________________________________________

Would you have any interest in the Fall League?      Yes ___            No ___

Would you have any interest in the Summer League? Yes ___            No ___

If you know someone who wants to enter a team in our league, please list his/her name and phone number.

Name: ______________________________ Phone: ___________________________

If you know of a qualified referee that would be interested in working in our league, please list his/her name and phone number.

Name: ______________________________ Phone:  __________________________

Player Information:

List all information, indicate grade level as of September 2007, and return with entrance fee by October 25th, 2007.

WE SUGGEST THAT EACH TEAM CARRY A MINIMUM OF 12 PLAYER AND A MAXIMUM OF 15. MINIMUM FEE PER TEAM IS $1080.00, EVEN IF YOU HAVE LESS THAN 12 PLAYERS ON YOUR ROSTER.

 

Player Name

Mailing Address

 (Street, City, State, Zip)

Phone

Grade

Birth Date

Fee

1

 

 

 

 

 

 

2

 

 

 

 

 

 

3

 

 

 

 

 

 

4

 

 

 

 

 

 

5

 

 

 

 

 

 

6

 

 

 

 

 

 

7

 

 

 

 

 

 

8

 

 

 

 

 

 

9

 

 

 

 

 

 

10

 

 

 

 

 

 

11

 

 

 

 

 

 

12

 

 

 

 

 

 

13

 

 

 

 

 

 

14

 

 

 

 

 

 

15

 

 

 

 

 

 

Head Coach Signature:  ___________________________________    Date:_______________  

Send completed Team and Player forms to:

Kevin McCarry
627 N. Speakman Lane
West Chester, PA 19380-6452

by October 25th, 2007

Visit us at www.malvernleague.com