Hoxie 3 on 3 Basketball Entry Form

Team Name ____________________________________  Boys __ Girls __  Age Division __________
 
Address ______________________________________________  Phone _______________________

BY SIGNING BELOW YOU ARE AGREEING TO NOT HOLD HOXIE PUBLIC SCHOOLS/USD 412/Hoxie Indian Basketball LIABLE FOR ANY ACCIDENTS OR INJURIES THAT MAY OCCUR DURING THE COURSE OF THIS TOURNAMENT. 

Players (printed and signed)                            Grade       Parent/Guardian Signature
 
1. ______________________________________      ______     _____________________________
 
2. ______________________________________      ______     _____________________________
 
3. ______________________________________      ______     _____________________________
 
The entry fee is $10.00 per player (for a total of $30.00).  Please make checks payable to:
Hoxie Indian Basketball  Mail this entry form and your check by April 13th to:

Hoxie Schools
c/o Scott Hoyt
1100 Queen Ave.
Hoxie, KS  67740