Send or Fax your entry form by July 22 to:
Flathead Lake 3on3
581 North Reservoir Road
Polson Montana 59860
Fax: 406-883-4441
Questions, Please Call1-800-750-KERR

 
 Please Complete All Sections of this form. Incomplete forms will not be honored.
 Entry is not complete until application fee is received. 
 Please Complete the contact name with a valid email address. 
 This is where the confirmation notice will be sent.

 Make check payable to:
 Flathead Lake 3on3
36581 North Reservoir Road Polson, MT 59860.
Contact Name:
Contact Email Address:
Team Name
Class:
Please Choose One
Youth Male: Grades 5-6, $100
Youth Female: Grades 5-6, $100
Youth Male: Grades 7-8, $100
Youth Female: Grades 7-8, $100
High School Male: Grades 9-10, $100
High School Female: Grades 9-10, $100
High School Male: Grades 11-12, $100
High School Female: Grades 11-12, $100
Open A Female $120
Open B Female $120
Co-Ed $120
Adult Male 6'1 and under-Elite $120
Adult Male Open-Elite $120
Adult Male 6'1 and under-Recreational $120
Adult Male Open-Recreational $120
Adult Male 35 and older $120
 
Team Captain
Please Enter Player One Information
Last Name    
First Name
Male Female
Address
City State Zip Code
Home Phone
Business Phone
Height
Age in June 2012
Grade in Fall 2012
What type of experience do you have
Youth League
Jr High or Middle School
High School Frosh or JV
High School Varsity
College
Adult League
What is Player One's Shirt Size
Youth 5-6
Youth 7-8
S
M
L
XL
XXL
 
Please Enter Player Two Information
Last Name    
First Name
Male Female
Address
City State Zip Code
Home Phone
Business Phone
Height
Age in June 2012
Grade in Fall 2012
What type of experience do you have
Youth League
Jr High or Middle School
High School Frosh or JV
High School Varsity
College
Adult League
What is Player Two's Shirt Size
Youth 5-6
Youth 7-8
S
M
L
XL
XXL
 
Please Enter Player Three Information
Last Name    
First Name
Male Female
Address
City State Zip Code
Home Phone
Business Phone
Height
Age in June 2012
Grade in Fall 2012
What type of experience do you have
Youth League
Jr High or Middle School
High School Frosh or JV
High School Varsity
College
Adult League
What is Player Three's Shirt Size
Youth 5-6
Youth 7-8
S
M
L
XL
XXL
 
Please Enter Player Four Information
Last Name    
First Name
Male Female
Address
City State Zip Code
Home Phone
Business Phone
Height
Age in June 2012
Grade in Fall 2012
What type of experience do you have
Youth League
Jr High or Middle School
High School Frosh or JV
High School Varsity
College
Adult League
What is Player Four's Shirt Size
Youth 5-6
Youth 7-8
S
M
L
XL
XXL
   
Please signify that you have read and understand the Release, Waiver, and Sportsmanship Pledge by typing "I Agree" in this box.
Forms received without agreeing to the Release, Waiver, and Sportsmanship Pledge will not be accepted.
Click Here to Print this form to Mail or Fax

RELEASE AND WAIVER AND SPORTSMANSHIP PLEDGE: I now that participating in strenuous activities such as basketball is potentially hazardous. I assume all risks associated with playing in this event including, but not limited to falls, contact with other participants, effects of weather, and the condition of playing surface, All such facts being known and appreciated by me. Knowing these facts, and in consideration of your accepting my entry, I hereby for myself, my heirs, executors, administrators or anyone else who might bring claims on my behalf, covenant not to sue, and waive, and discharge Polson 3on3 Association, all charities benefiting from the event, The City of Polson Montana, Event employees, all volunteers, event board and committee Members, and any and all sponsors, including their agents, employees, assigns or anyone acting on their behalf, from any and all claims of liability for death, personal injury, and property damage of any kind or nature whatsoever arising out of or in course of my participation in this event. This Release and Waiver extends to all claims of every kind of nature whatsoever, foreseen, or unforeseen, known or unknown. Application of minors will be accepted only with a parent or guardian's signature and must also be signed by the minor.

SPORTSMANSHIP PLEDGE: I realize that I am responsible for my own and my teammate's conduct of play. I vow to represent my team and myself in a sportsmanlike manner. In the event that I fail to do so, I realize that both my team and myself may be ejected from the tournament.

 
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Flathead Lake 3on3, Polson Montana
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