Please fill out the below registration form and submit for intent to play.

Payment MUST be received by:

Jan 5, 2012 to confirm spot for MLK Holiday Classic!

NO PERSONAL CHECKS ACCEPTED

TEAM INFORMATION

MWX BASKETBALL TOURNAMENT REGISTRATION FORM

Team Name *

Coach/Contact *

Address *

City *

State

Zip code

Day Phone

Evening Phone

Cell Phone

Fax

Email

Tournament Entering

Teams Gender

Age Group

Comments/Scheduling Request

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Mail Entry Fee (Cashier's Check or Money Order, NO Personal Checks Accepted)

Payable to Midwest Xpress

Mail to:

Kelly Peek/MWX Tournaments

PO Box 151

Mason, Ohio 45240