Winning Edge Fall Program Registration 2006

Players Name:_______________________________________________________

Parents name:________________________________________________________

Address________________________________State:__________Zip:___________

Home #______________________Cell#___________________Wk.#____________

Email:_______________________________________________________________

DOB:_______________________Age:______________Grade:________________

School:______________________________________________________________

Emergency Contact: Name__________________________Phone:________________

Any health concerns:___________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Insurance Co:_________________________________________________________
Policy #:______________________________________________________________

Waiver Signature:_____________________________________________________
(must sign to participate)

Boys/Girls Feeder Player Development Team Training	________ $175.
Dates: Sept.5/6 - Oct. 10/11
Boys Fremd Feeder Tryouts                                 Tryout Fee:	________ $20.
Dates: Oct. 17 & 18 (both days mandatory)
Jr. NBA/Jr. WNBA (In place of  HF Monday Night League)
Individual Skills and Scrimmage Play (Session I)	________ $175.
Dates: Sept.18 - Nov. 13
League Play (Session II)	________ $250.
Dates: Dates: Nov.27 - Mar. 19
Sign Up for Session I & Session II together discount	________ $400.
TOTAL DUE:	________

Print and complete this form.  Return with payment payable to:
Winning Edge Basketball
1055 Harrison Lane
Hoffman Estates, IL 60195