Buckeye Local Roundball Club Shootout
Sunday, January 22, 2012Buckeye Local Roundball Club Shootout
March 10th – 11th
All games at Buckeye Local High School gyms
Boy’s 5th, 6th, 7th, 8th, 9th, 10th/11th grade divisions
Girl’s 5th, 6th, 7th, 8th, 9th, 10th/11th grade divisions
Cost: $125 per team – 3 game guarantee
All games officiated by certified officials.
For more info or to register a team, contact:
Joe Czuchran 740.391.4063 email: joe@deluxedoors.com
Deadline to enter is March 1st
2012 Buckeye Local Shootout Team Entry Form
Team___________________________________Boy’s/Girl’s_________Grade________
Player_____________________________________________#_______Grade________
Player_____________________________________________#_______Grade________
Player_____________________________________________#_______Grade________
Player_____________________________________________#_______Grade________
Player_____________________________________________#_______Grade________
Player_____________________________________________#_______Grade________
Player_____________________________________________#_______Grade________
Player_____________________________________________#_______Grade________
Player_____________________________________________#_______Grade________
Player_____________________________________________#_______Grade________
Player_____________________________________________#_______Grade________
Player_____________________________________________#_______Grade________
Coaches Name__________________________________________________________
Coaches Phone #_________________________________________________________
Coaches Cell Phone #_____________________________________________________
Coaches email___________________________________________________________
Coaches mailing address__________________________________________________
Mail $125 entry fee check to:
Panther Roundball Club
% Joe Czuchran
4457 CR 15
Rayland, Ohio 43943
Make check payable to: Panther Roundball Club
Registration deadline is March16th








