Ocean City Basketball Classic Event

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Phone:
• * Cell Phone:

• Gender

  • Girl
  • Boy

• Fee

  Type	Fee
  Event fee	$375.00

Business Information

• * Address 1:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Phone:
• * Emergency Contact Name and Phone #:
• * Club/Team Name

• PLEASE ENSURE YOU ADD ALL TEAM MEMBERS DURING REGISTRATION PROCESS. REGISTRATION WILL NOT BE COMPLETED UNTIL WE HAVE ALL TEAM MEMBER’S NAMES AND DATE OF BIRTH ON THE REGISTRATION FORM. (You can update names before the event).

• Team Type

  • Boys
  • Girls

• Grade

  • 4th
  • 5th
  • 6th
  • 7th
  • 8th
  • 9th
  • 10th
  • 11th
  • 12th
• Player 1 Name and Date of Birth
• Player 2 Name and Date of Birth
• Player 3 Name and Date of Birth
• Player 4 Name and Date of Birth
• Player 5 Name and Date of Birth
• Player 6 Name and Date of Birth
• Player 7 Name and Date of Birth
• Player 8 Name and Date of Birth

• Player 9 Name and Date of Birth
• Player 10 Name and Date of Birth
• Player 11 Name and Date of Birth
• Player 12 Name and Date of Birth
• * Head Coach:
• * Phone #
• * Email Address

• Certified Checks, Club Checks and Money Orders accepted. Please make payable to Ocean City Basketball Classic. Mail to 11286 Wildmeadows Street Waldorf MD 20601.