2018 Bloomington Shootout Saturday, February 17th and Sunday February 18th
Registration Form Team Name:
Grade Level_____________
Boys OR Girls OR Coed Team (circle one) Coach’s/Asst. Coach’s Names and Phone Numbers, E-mail Coach Head Coach
Name
Day
Evening
Cell.
Asst. Coach
Asst. Coach
Head Coach’s/Contact Person’s Mailing Address (Street,City,State,Zip Code) Name: Street: City: State: Zip Code: Contact: Send your check payable to Bloomington High School South, your completed roster and release form, and the completed registration form to the address listed below by February 9, 2018: Coach Moriarity Bloomington High School South 1965 South Walnut Street Bloomington, IN 47401
Please contact Leslie Abel with any questions at: e-mail: leslieabel6980@aol.com