7th Annual SUNY Potsdam CAN-AM Hoops Classic

Return form to: Continuing Education/Summer Programs, SUNY Potsdam,
44 Pierrepont Avenue, Potsdam, NY 13676

Name ___________________________________________________
(Please complete an entry form for each team)

pBoys p Girls Age Level p12 p13 p14 p15 p16 p17
pSchool pAAU/Club
(Oldest player's age of 1/1/03)

Does your team require housing on campus? pYes pNo
If yes, complete and return enclosed housing form.

Level of Play:
pA Strength: pStrong p Weak

pB Strength: pStrong p Weak
(Please be sure to check level of play and strength.)

Coach _________________________________  Fax ______________________

Home Phone ____________________  Work Phone _______________________

Address __________________________________________________________

City _____________________________  State ______ Zip _________________

2nd Contact Person _________________________________________________

Home Phone ____________________  Work Phone _______________________

Address __________________________________________________________

City _____________________________  State ______ Zip _________________

Method of Payment

pCheck pVISA pMasterCard

Card # _________________________________________ Exp. Date __________

All checks should be made payable to "SUNY" Potsdam (in U.S. Fund only).
The full $350 entry fee is due with this application.

3/18/03