Lake Erie Ohio AAU (North East Ohio)

2012 GRASSROOTS REPORT NATIONAL CHAMPIONSHIPS

The Grassroots Report Pre-National Qualifier will hold its Boys and Girls National CHAMPIONSHIPS on July 21-22, 2012 in Cleveland, Ohio at

*AKRON NORTH HIGH SCHOOL (main site),

*Euclid Sports Plant (as needed)

WHO:  Grades 2nd through 12th (u8 through u19)

When: July 21-22, 2012 

Cost: $400.00 (early registration before July 9, 2012 is $250)

*Mulitiple Team Discount Late fee is $325 per team 

REGISTRATION EITHER BY USING FORM THROUGH MAIL OR BY ONLINE REGISTRATION

(TO REGISTER BY PAY PAL, FIRST PAY YOUR FEE and also go to Online Registration TAB Below

and Enter your Team Information when paying online you must do both to be registered)

OR   (IF PAYING BY MAIL COPY AND EMAIL FORM TO OHIOBASKETBALL@YAHOO.COM)

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 

                               GRASSROOTS REPORT

                 NATIONAL CHAMPIONSHIPS

                           July 21-22, 2012

                                                   REGISTRATION FORM

 
Team Name: ____________________________________________________________

Coach Name: ___________________________________________________________

Contact Name: __________________________________________________________

Address: _______________________________________________________________

City: _____________________________________ State: ___________ Zip: _________

Tel No: _______-_____________________ Cell NO______-______________________

Email: _______________________________@___________________________.com

AGE: _________ SEX _____  NO OF TEAMS _______

================================================================

Step One

Print this form out
Then Send this form and *  Make Checks payable to
OYBA  *  C/O Next Level
1410 W 9TH STREET  *  Lorain, OH 44052

for Information call 
330 245-8109 Reggie Floyd
================================================================
Step Two

GRASSROOTS REPORT NATIONAL CHAMPIONSHIPS July 21-22, 2012 $400

*Early Before July 9  only $325

*Multiple Team only $325 

================================================================
Step Three

REMEMBER: Make Checks payable to OYBA
Mail forms and checks to
=========
GRASSROOTS

c/o Next Level
1410 W 9th Street
Lorain, Ohio 44052
202 422-8341

TEAMS ALREADY COMMITTED INCLUDE