Scorekeeper Information

If you are an experienced, reliable basketball scorekeeper, and you are interested in working in the Las Vegas area on August 16th and 17th, please complete and submit the following:

First name:

Last name:
Age, if minor:
E-mail address:

Mailing address:

City:

    

Zip:

Phone #s (include area code):

  Home
  Cell
  Work
  Pager
  Emergency (# where we can reach you in Las Vegas)

T-shirt size:

 S      M      L      XL      XXL (Adult sizes)

Will you be driving yourself in LV?

Yes   No

If not, how will you get around?

Where will you be staying?

Division preferences:

 Boys   Girls   Adult   No preference 

Level:

 Pee Wee (2nd - 3rd Grade)
Midget (4th - 6th Grade)
Junior (7th - 8th Grade)
 Sr Lower (9th - 10th Grade)
 Sr Upper (11th - 12th Grade)
 No preference

Will you be able to work all 12 games?

 Yes   No
If no, please explain:

Special needs/requests (specify if you will be carpooling with another scorekeeper):

How long and for whom
have you been scorekeeping?

Additional comments/concerns:

 

 

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Last modified:  Wednesday, July 26, 2006 05:38