Team Name:
Our Team is: Male Female Coed
   
Divisions:
 10 & Under
13 & Under
16 & Under
18 & Under
25& Under, 6' & Under
25& Under, 6' & Over
26 & Over, 6' & Under
26 & Over, 6' & Over
30 & Over
Top Gun(Adult "open" division, the most competitive)
   
Team Size:

3 Ball Half
(3 on 3 half court)

$120 per team
  4 Ball Full
(4 on 4 reduced full court) 		$160 per team
     

Special Offer Tournament
   
Total Due:
   
Method of Payment:

Check(s) or Money Order (payable to "Ultimate Lineup")
Discount Code:
Please list check number(s):
Credit Card: Master Card Visa
Card #:
Expiration #:
Name as printed on card:
Zip Code of Cardholder:

   

Captain:
Name:
Address:
City:
State:
Zip:
Phone (Home):
(Work):
Email:
   
How Often Do You Play?
Daily Weekly Monthly Yearly
Playing Experience (check the highest level):
None City/Rec. HS JC/College Semi_Pro/Pro


Player 2:
Name:
Address:
City:
State:
Zip:
Phone (Home):
(Work):
Email:
   
How Often Do You Play?
Daily Weekly Monthly Yearly
Playing Experience (check the highest level):
None City/Rec. HS JC/College Semi_Pro/Pro


Player 3:
Name:
Address:
City:
State:
Zip:
Phone (Home):
(Work):
Email:
   
How Often Do You Play?
Daily Weekly Monthly Yearly
Playing Experience (check the highest level):
None City/Rec. HS JC/College Semi_Pro/Pro


Player 4:
Name:
Address:
City:
State:
Zip:
Phone (Home):
(Work):
Email:
   
How Often Do You Play?
Daily Weekly Monthly Yearly
Playing Experience (check the highest level):
None City/Rec. HS JC/College Semi_Pro/Pro


Player 5:
Name:
Address:
City:
State:
Zip:
Phone (Home):
(Work):
Email:
   
How Often Do You Play?
Daily Weekly Monthly Yearly
Playing Experience (check the highest level):
None City/Rec. HS JC/College Semi_Pro/Pro


Player 6:
Name:
Address:
City:
State:
Zip:
Phone (Home):
(Work):
Email:
   
How Often Do You Play?
Daily Weekly Monthly Yearly
Playing Experience (check the highest level):
None City/Rec. HS JC/College Semi_Pro/Pro

Waiver, Trademark and Management: every player and their parent/guardian, if the player is under 18, must read this Waiver Form. Submission of this registration form signifies that each person has read, understands and abides by this information. There are risks associated with participation in the tournament and its related activities. On behalf of myself, my heirs, executors, administrators and assigns, I hereby waive, release and discharge Ultimate Line Up, event sponsors, event charities and any of the agents, employees, officers and directors of the foregoing from any and all claims for damages, actions or suits and demands whatsoever in law and in equity, including but not limited to, the risk of injury from playing in this tournament and risk of loss of personal property by theft or otherwise. I herby grant full permission for event organizers to record any or all of my participation in this event for photos, motion pictures, TV, radio, recordings, videotapes and other media known or unknown, and to use them no matter by whom taken, in any manner for publicity, promotions, advertising, trade or commerical purposes, without any remuneration of any kind due me.

I have read and understand the above information.
(required)