TopekA Independence Day Celebration
3-on-3 Basketball Tourney
Thursday, July 4, 2013
Topeka Town Park • Entry Deadline: June 13, 2013
Entry Fee: Student Teams $50 • Open Division $60
T-Shirts for everybody!
Trophies for 1st and 2nd place teams in Student Divisions
Also, top two teams in 16-18 Division may play in the Open Division FREE!
Cash Prizes for Open Division! See specifics at bottom of the page.
All games will
have refs!
Team Name:____________________________________________________________
Circle Adult
Shirt Size
Contact Person:____________________________________________ Age:_________ S, M, L, XL
Address________________________________________________________________________________
Phone Number____________________________________________
Name 2____________________________________________________ Age:________ S, M, L, XL
Name 3____________________________________________________ Age:________ S, M, L, XL
Name 4____________________________________________________
Division
Ages*
Boys 10-12+
Girls 13-15
16-18
Age:________ S, M, L, XL
Sponsored by:
and
OPEN DIVISION
Age as of tournament date. +Can have one 13 year old on team if in the 6th grade this year.
*
Teams limited to 4 players. All games will have referees. (Their decisions are final!) Trophies will be awarded for first and second
place teams in each division. Tournament is double elimination. Must be at least 3 entries in a given division for competition to take place. Each team to pay $50* entry fee with registration. Check should be made out to LaGwana Printing, Inc.
Complete this form. Send it with $50+to:
LaGwana Printing, Inc. • Ph: 260-463-4901
P.O. Box 70, Shipshewana, IN 46565
Open Division
Cash Prizes!
This is for all you guys (and girls) that are over 18, but still want to play …
Come on down!! Open Division Starts at 1 pm
Open Division Entrants: Use the form above for entry, but please note some differences in rules and regulations for this division, noted below.
OPEN DIVISION: Teams limited to 4 players, can be over 18 (but don’t HAVE to be). Referees will call the games. (Their decisions are final!) Tournament is double elimination. Cash
Awards of $200 (first place team) and $100 (second place) will be awarded. Entries in this division only, will still be accepted day of the tournament. Must be at least six paid entries for
competition to take place. Each team to pay $60 entry fee with pre-registration (in our office by Jun. 13). All pre-registered teams will get T-shirts. After that, please bring your
$60 to the tournament site during the younger teams’ tournaments (deadline is 12 o’clock noon - games start at 1). Make checks payable to LaGwana Printing, Inc.
+
pg 22 · The Hometown Treasure · June ‘13