School:
Division:
Varsity JV Freshman
Coach:
Name Street Address Address (cont.) City State/Province Zip/Postal Code Cell Phone Home Phone E-mail
Player 1:
Player 2:
Player 3:
Player 4:
Player 5:
Player 6:
Player 7:
Player 8:
Player 9:
Player 10:
Player 11:
Player 12:
Please enter additional notes or requests:
Please make checks to "Southern KC Boys Basketball" and mail to: Marilyn Luebbert Southern KC Boys Basketball League 13842 Goodman Overland Park, KS 66223 A confirmation email will be sent when your registration and payment is received.
