Division Champions will be awarded a 3 on 3 tournament championship T-shirts
Days Inn I-90 3 0n 3 Basketball Tournament LOCATION: King Center
Officials and Basketballs ONLY 1 basketball will be provided for each court. Each team will need to bring their own warm-up basketball. Officials will be provided.
Goodell Gymnasium On Campus of SDSM&T Rapid City, SD DATE: Sunday April 17th, 2011 DIVISIONS:
Snack Bar will be open throughout the day
Rules and Brackets will be posted on the day of the Tournament
Registration Date No Registrations will be accepted after April 13th!!
WEBSITE Schedule will be posted on the website April 15th. Captains please check the website at
www.GoRockers.com
Team Name ________________________________ Team Captain ________________________________ Phone Number _______________________________ DIVISION (Boys)
( X One )
(Girls)
A _______ Grade 4
G ______ Grade 4
B _______ Grades 5-6
H ______ Grades 5-6
C _______Grades 7-8
I ______ Grades 7-8
D _______ Grades 9-10
J ______ Grades 9-10
E _______ Grades 11-12
K ______ Grades 11-12
F _______ Open Division
L ______Open Division
Group A & G - Grade 4
Team Members
Group B & H - Grades 5-6
1) ______________Address__________________________
Group C & I - Grades 7-8
2) ______________ Address_________________________
Group D & J - Grades 9-10
3) ______________ Address_________________________
Group E & K - Grades 11-12
4) ______________ Address_________________________
Group F & L - Open Division
PAYMENT Please return with the $40.00 registration fee by
Rules:
April 13th, 2010 Four players per team (Minimum). Groups F & L is anyone who has graduated from high school. Teams must have fun!!!! Teams will be guaranteed two games.
Deadline and Refunds: No team will be entered after April 13th! There will be no refunds for “no shows”
$5.00 each additional player over four. Registration fee to: SD School of Mines Attn: Jason Henry 501 East St. Joseph Street Rapid City, SD 57701
Jason Henry 501 East St. Joseph Street Rapid City, SD 57701 Work Phone: 605-355-3023 Fax: 605-394-3375 Email: Jason.Henry@sdsmt.edu Web Site: www.GoRockers.com
EMERGENCY MEDICAL RELEASE (Must be signed by a parent or guardian if Under the age of 18) For the Hardrocker 3 on 3 tournament
I-90
3 ON 3
I hereby authorize the director of the Hardrocker 3 on 3 basketball tournament to act for me according to their best judgment in any emergency requiring medical attention and I hereby waive and release SD School of Mines or any camp staff from any and all liability for any injuries or illnesses inferred while at the tournament. I understand the violation of tournament rules may result in dismissal from the tournament with all tuition forfeited.
Girl’s/Boy’s & Women’s/men’s
Basketball TOURNAMENT
__________________________________________ Name of Athlete __________________________________________ Signature of Parent of Legal Guardian __________________________________________ Insurance Co. __________________________________________ Policy # All Players must turn in a Medical Release form Please make additional copies as needed!!
I-90 Jason Henry 501 East St. Joseph Street Rapid City, SD 57701 Home Phone: 605-716-4144 Work Phone: 605-355-3023 Fax: 605-394-3375 Email: Jason.Henry@sdsmt.edu Web Site: www.GoRockers.com
SDSM&T Rapid City, SD Sunday APRIL 17th, 2011