Register

Please fill out the entire registration form below to register. Remember that you cannot register online without filling out the roster at the same time as you make payment via credit card.

Western PA Grade School Championships

	The current fee of $200.00 is a discounted fee for early sign-up. After March 1, 2011 the fee will go back to the normal rate of $225.00 for this 4-game guarantee tournament.
	(The fields marked with a red asterisk are required)
Team Name:	*
Division:	* Gender *
Coach Name (Last, First):	, *
Street Address:	*
City:	* * Zip: *
Cell Number:	* Secondary Phone:
E-Mail:	(please provide, if possible)


Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:


Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:


Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:


Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:


Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:



Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:



Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:



Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:



Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:



Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:



Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:



Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:



Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:



Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:



Player Name (Last, First):	, * Jersey #:
Date of Birth	* (MM/DD/YYYY) Height: (in feet and inches)
Current School:	* Grade: * Age:



	If you have any special situations, please describe them in the box below:


	Please take the time to answer for us a few questions about you.
How did you hear about the event?
Whom were you referred by?	(full name)

	I hereby certify that the above information is correct to the best of my knowledge. Additionally I assume all responsibility for all team members listed above and agree to hold Victory Sports Enterprises, LLC, all schools, facilities, gymnasiums, or courts used, as well as all volunteers, workers, or paid employees free of any and all liability on account of any injury, loss, or damage suffered as a result of participating in this event, including but not limited to games, practices, and/or travel to/from the event.
	I Agree I Do Not Agree

	There is a fee of $200.00 associated with the registration of this tournament (Western PA Grade School Championships). You will be required to submit the payment in full before registration is complete. A 'convenience fee' may be charged for all applicable online payments. We do not profit from any such 'convenience fees' applied.

This is a new feature of the VSEBasketball.com website, and has been tested extensively. However, if you are experiencing any issues, require assistance, or wish to provide general feedback, please drop us an email at feedback@vsebasketball.com. We would like to hear from you.