Capital Centre - Aim High Sports

 FALL BASKETBALL LEAGUE

Team Registration

 

League:   

3rd/4th (Mondays)            _____        $400.00   _____

5th (Tuesdays)                   _____       $400.00   _____    $750.00   _____        

6th (Tuesdays)                   _____       $400.00   _____    $750.00   _____

7th (Thursday)                   _____       $400.00   _____    $750.00   _____

8th (Thursday)                   _____       $400.00   _____    $750.00   _____    

9th/10th (Wed. or Sun.)     _____       $400.00   _____    $750.00   _____

11th/12th (Wed. or Sun.)   _____       $400.00   _____    $750.00   _____

 

                    Individual Registration

 

ALL AGE GROUPS                          $60.00   ______ 

 

_______________________________________________________________

 

TEAM NAME ___________________________________

 

GRADE: ______________

 

MALE:________ FEMALE: __________

 

COACHES NAME: _______________________

 

PHONE: ________________________

 

ADDRESS: ________________________ CITY: ____________

 

STATE:____________________________ ZIP:_______________

 

E MAIL:_______________________________________________

 

IF YOU ARE MAILING YOUR PAYMENT CHECKS SHOULD BE MADE PAYABLE TO AIM HIGH SPORTS

7977 CENTERLINE DRIVE

DIMONDALE MI48821

 

IF PAYING BY CREDIT CARD OR DEBIT CARD

 

______ VISA        _______ MASTERCARD 

 

______ DEBIT CARD

 

CREDIT CARD NUMBER:_________________________________________

 

EXPIRATION DATE:__________

 

SIGNATURE OF

CARD HOLDER:___________________________________________

 

Mail to:

Aim High Sports

7977 Centerline Drive

Dimondale, MI 48821

Or Fax to: 517-646-9620

Questions? Call 517-646-HOOP