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3 on 3 Basketball Tournament St. Agatha, Milton - St. Agatha Parish

3 on 3 Basketball Tournament St. Agatha, Milton - St. Agatha Parish

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3 <strong>on</strong> 3 <strong>Basketball</strong> <strong>Tournament</strong><br />

<strong>St</strong>. <strong>Agatha</strong>, Milt<strong>on</strong><br />

To Benefit <strong>St</strong>. <strong>Agatha</strong> Young Church Ministry Service Programs<br />

Saturday, March 23, 2013<br />

10:00 a.m. to 3:00 p.m.<br />

<strong>St</strong>. <strong>Agatha</strong> School Gym<br />

$60.00 per team (hey it’s $15.00 per pers<strong>on</strong> for teams of 4 and you get a<br />

T-shirt and possibly a medal and you get to c<strong>on</strong>tribute to a great cause –<br />

sending kids <strong>on</strong> summer service to NJ and WVA)<br />

To Register: Complete form <strong>on</strong> back and mail in $60.00 Team<br />

registrati<strong>on</strong> fee made payable to <strong>St</strong>. <strong>Agatha</strong> Young Church Ministry<br />

to address <strong>on</strong> back or drop it off at the rectory by March 20 th .<br />

Age Divisi<strong>on</strong>s:<br />

8-9, 10-11, 12-13, 14-15<br />

Detailed schedules and time slots to be determined<br />

Questi<strong>on</strong>s: Call Alyse Olivieri at 617.698.7662<br />

Email: olivieri33@gmail.com


<strong>St</strong>. <strong>Agatha</strong> Young Church Ministry<br />

3 <strong>on</strong> 3 <strong>Basketball</strong> <strong>Tournament</strong><br />

Team Name ________________________________________________<br />

Circle the Age Divisi<strong>on</strong> You Are Entering to Play<br />

8‐9 10‐11 12‐13 14‐15<br />

We the undersigned hereby release <strong>St</strong>. <strong>Agatha</strong> Church, the tournament volunteers and any other<br />

pers<strong>on</strong>(s) or organizati<strong>on</strong>(s) c<strong>on</strong>nected with this <strong>Tournament</strong> from any claim of damage or injury from<br />

our participati<strong>on</strong> in or traveling to the 3-<strong>on</strong>-3 <strong>Basketball</strong> <strong>Tournament</strong> <strong>on</strong> March 23, 2013. We also give<br />

permissi<strong>on</strong> to use our likeness and publish our names in the news media.<br />

Captain<br />

Name ____________________________Signature____________________________<br />

Address ________________________________ Teleph<strong>on</strong>e _____________________<br />

E-Mail (please print legibly) __________________________________ Age _________<br />

Player #2<br />

Name ____________________________Signature____________________________<br />

Address ________________________________ Teleph<strong>on</strong>e _____________________<br />

E-Mail (please print legibly) __________________________________ Age _________<br />

Player #3<br />

Name ____________________________Signature____________________________<br />

Address ________________________________ Teleph<strong>on</strong>e _____________________<br />

E-Mail (please print legibly) __________________________________ Age _________<br />

Player #4 (For Substituti<strong>on</strong>s)<br />

Name ____________________________Signature____________________________<br />

Address ________________________________ Teleph<strong>on</strong>e _____________________<br />

E-Mail (please print legibly) __________________________________ Age _________<br />

Include $60.00 check made payable to <strong>St</strong>. <strong>Agatha</strong> Young Church Ministry<br />

Mail to:<br />

<strong>St</strong>. <strong>Agatha</strong> Rectory<br />

432 Adam <strong>St</strong>reet<br />

Milt<strong>on</strong>, MA 02186

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