Brooklyn Northside Basketball League
Team Registration Form



Fall Indoors _____     Winter Indoors _____


Team Name __________________________________________
Coach/Captain __________________________________________
Address __________________________________________
Home Phone __________________________________________
Work/Office Phone __________________________________________
Cell Phone __________________________________________
Beeper __________________________________________
E-Mail __________________________________________


Tee Shirt Sizes (Adult): S ____  M ____  L ____  XL ____  XXL ____  XXXL ____




I __________________________ who is the coach/captain of the above captioned team will be held financially responsible for the $_______ league fee. Enclosed is a deposit of $100 towards the league entry fee. The remaining balance will be paid in full one (1) week prior to the start of the season.


Signed ___________________________________  Date __________



Please sign and mail to:
Fred Suzel
PO Box 37
Middle Village, NY 11379