11th Annual Ventura Seaside Basketball Tournament

April 18, 19, and 20   2008

ROSTER

A Separate Roster Form is required for each Team entered.

Must be submitted by 1st Game - No Exceptions!

Team Name          
Circle
Gender
Boy     Girl  
Circle
Division
3/4 5A 5B 6A 6B 7A 7B 8A 8B JV Varsity   3/4 5A 5B 6A 6B 7A 7B 8A 8B JV Varsity
Circle Type

A   B

Coach

 

Address

 

Home Phone

 

Work Phone

 

FAX

 

Email

 

Name of Player

Address

City, ZIP

Phone

DOB

School/City

Grade

* Parents Signature

1.

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

6.

 

 

 

 

 

 

 

7.

 

 

 

 

 

 

 

8.

 

 

 

 

 

 

 

9.

 

 

 

 

 

 

 

10.

 

 

 

 

 

 

 

11.

 

 

 

 

 

 

 

12.

 

 

 

 

 

 

 

*  I am the parent/legal guardian of the player listed to the left of my signature. I acknowledge that the player could suffer injury by participating in this Tournament. However, I consent to his/her involvement in this Tournament. The player has adequate personal health/injury insurance. I waive any claim against the Optimist Club and/or the Ventura Breakers if the player is injured while participating in this Tournament activity and I will hold each of them harmless from liability for such injury.

Close this window to return to the VSBB website.