JLD Community Solutions' 5-On-5 Battle of the Squads Basketball Tournament Entry Form
Saturday, April 5th @ 12:00 - 3:00 PM | J Smith Young YMCA | Register by March 15th | Team Entry Fee: $50
Team Information
Please complete the following details for your team.
Team Name:
*
Captain's Name:
*
First Name
Last Name
Captain's Phone No:
*
Format: (000) 000-0000.
Captain's E-mail:
*
example@example.com
Captain's Preferred Method of Contact:
*
Phone
Text
Email
Team Captain is 18 years or older.
Yes
No
We have team players under the age of 18.
Yes
No
I acknowledge that all team players under the age of 18 have received parental consent to participate.
*
I acknowledge.
Player Information
Please complete the following details for each player.
Player 1 Name:
*
First Name
Last Name
Player 1 Graduating Class:
*
Player 1 T-shirt Size:
*
Player 2 Name:
*
First Name
Last Name
Player 2 Graduating Class:
*
Player 2 T-shirt Size:
*
Player 3 Name:
*
First Name
Last Name
Player 3 Graduating Class:
*
Player 3 T-shirt Size:
*
Player 4 Name:
*
First Name
Last Name
Player 4 Graduating Class:
*
Player 4 T-shirt Size:
*
Player 5 Name:
*
First Name
Last Name
Player 5 Graduating Class:
*
Player 5 T-shirt Size:
*
Emergency Contact Information
Please complete the following details for the team's emergency contact.
Emergency Contact Name:
*
First Name
Last Name
Relationship to Team Member:
*
Emergency Contact Phone No:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Terms and Conditions Acknowledgement
Please acknowledge the following terms and conditions.
I acknowledge that each team player has read, understand, and agree to the attached terms and conditions. Each team player understands that participation in the tournament is voluntary and involves physical activity. Team players acknowledge that we assume all risks associated with our participation.
*
I acknowledge on behalf of my team
Terms and Conditions
Signature
*
I am signing on behalf of my team that we all have read, understand, and agree to the attached terms and conditions.
Submission Instructions
Please complete registration and submit your team entry fee by March 15, 2025, to secure your spot in the tournament. For questions or further information, contact us at support@jldscholarshipfund.org or contact Angela McDuffie at 336-932-3482.
Would you like to be updated on future events?
Yes
No
Comments. (Share any questions or comments you may have.)
Team Entry Fee
*
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Entry Fee
$50.00
$
50.00
Quantity
1
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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