Registration Form for the Inner-City Men’s Master Basketball League, that is being played out of the New Citadel High School. Once this form is completed, please return to Carl Gannon via e-mail (gannoncs@eastlink.ca) or personally ASAP, thanks. T #s W 427-3012 or C 452-0682

Name: _______________________________________________________

Height________________________ Weight_________________________

Address______________________________________________________

_____________________________________________________________

Phone #s______________________________________________________

E-mail Addresses ______________________________________________

Experience playing

Basketball____________________________________________________

Position that you play___________________________________________

Method of payment; cash______money order____certified cheque_____

attached to registration form