HAZEN CENTENNIAL

3-POINT SHOOT OUT

CALCUTTA REGISTRATION
AUCTION: July 5th, 2013 at 6:00 p.m. CT ~ Jimmys Lounge in Hazen
SHOOT OUT: July 6th, 2013 at 12:00 pm CT
WHERE: Hazen High School Gym
Shooter Name: ___________________________________________________________________ Age: (if under 18) _______________
Parent/Guardian signature (if shooter is under 18)

_____________________________________________________________________________________

Contact Name: ________________________________________________________________________________________________

Email Address: ______________________________________ Phone Number: _____________________________________
Address: _____________________________________________ City: ________________________________ Zip: ____________
Shooter Basketball History:

(Years played and Career Notes. Tell us about yourself! Use back of this form if you need more room.)

___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________

NO ENTRY FEE
PRIZES: 1st Place $200 ** 2nd Place $100 ** 3rd Place $50
The North Dakota High School Activities Association prohibits student-athletes from winning prize money.
A student-athlete may participate as a Shooter (with their parent/guardian consent) however all prize money will be
awarded to the bidder and a local charity.

A list of registered Shooters will be posted on the hazencentennial.com website.

Mail this entry form to:

Hazen Centennial Association

Attn: Calcutta Shootout
PO Box 100,
Hazen, ND 58545

Visit our website www.hazencentennial.com for additional forms and information.

Questions may be directed to Greg Batke 701-880-9091 or Aaron Wick 701-880-8532
Email: 3on3bball@hazencentennial.com