Hanover Hacker 3 on 3 Basketball

July 4, 2007

Perrine Park, Downtown Hanover

Four age Divisions

Male - grade going into/Female - grade completed

Double Elimination - Court Monitors

4 players per team, t-shirts to first 25 teams registered

Cost $50 per team

Division I - Grades five and six*

Division II - Grades seven and eight*

Division III - Grades nine and ten*

Division IV - Grades eleven and twelve

Division V - Open

Team Name ________________________________________________

Division____________________________________________________

Player Name Grade Phone number

1.____________________________________________________________________________

2.____________________________________________________________________________

3.____________________________________________________________________________

4.____________________________________________________________________________

Each player, or parent/guardian, if under 18 years of age is required to sign a waiver before playing in the HANOVER-HACKER. (Waiver is on page 2 or the backside of this form). 

Make checks payable to: Village of Hanover, c/o 4^th of July Committee

Mail to:

Village of Hanover

c/o 4^th of July Committee

P.O. Box 220, Hanover, MI 49241

Be sure all waiver forms are signed before mailing (see backside of this form or page 2).

For more information call: 517-563-2839

Registrations accepted until Wednesday, July 4 at 10 a.m.

Extra forms available at Hanover Market

NAME OF PLAYER______________________________________________________________________

Waiver: In consideration of the acceptance of my entry, I, for myself, my executors, administrators and assigns do hereby release and discharge the Village of Hanover and Hanover-Horton 4^th of July Committee, its agents representatives or affiliates, and any of all other sponsors jointly and severally, for any and all claims of injuries or damages incurred by me as a result of or in connection with said event. I attest and verify that I have full knowledge of the risks involved in this event and am physically fit and trained to participate in this event.

Signature_____________________________________________________________________

(Parent or guardian if under 18 years of age)

NAME OF PLAYER______________________________________________________________________

Waiver: In consideration of the acceptance of my entry, I, for myself, my executors, administrators and assigns do hereby release and discharge the Village of Hanover and Hanover-Horton 4^th of July Committee, its agents representatives or affiliates, and any of all other sponsors jointly and severally, for any and all claims of injuries or damages incurred by me as a result of or in connection with said event. I attest and verify that I have full knowledge of the risks involved in this event and am physically fit and trained to participate in this event.

Signature_____________________________________________________________________

(Parent or guardian if under 18 years of age)

NAME OF PLAYER______________________________________________________________________

Waiver: In consideration of the acceptance of my entry, I, for myself, my executors, administrators and assigns do hereby release and discharge the Village of Hanover and Hanover-Horton 4^th of July Committee, its agents representatives or affiliates, and any of all other sponsors jointly and severally, for any and all claims of injuries or damages incurred by me as a result of or in connection with said event. I attest and verify that I have full knowledge of the risks involved in this event and am physically fit and trained to participate in this event.

Signature_____________________________________________________________________

(Parent or guardian if under 18 years of age)

NAME OF PLAYER_______________________________________________________________________________

Waiver: In consideration of the acceptance of my entry, I, for myself, my executors, administrators and assigns do hereby release and discharge the Village of Hanover and Hanover-Horton 4^th of July Committee, its agents representatives or affiliates, and any of all other sponsors jointly and severally, for any and all claims of injuries or damages incurred by me as a result of or in connection with said event. I attest and verify that I have full knowledge of the risks involved in this event and am physically fit and trained to participate in this event.

Signature______________________________________________________________________________

(Parent or guardian if under 18 years of age)

printable team entry
printable waiver form