PIRATE BASKETBALL ALUMNI GAMES REGISTRATION FORM

Make checks payable to:  Crookston Boys Basketball.

Mail to:            Greg Garmen

                        Crookston High School

                        402 Fisher Ave.

                        Crookston, MN 56716

Proceeds will go towards the CHS Pirate Boys basketball program.

Reserve your spot now:

Name____________________________________________________________

Address__________________________________________________________

Phone _________________Email address_______________________________

Graduation year_____________

Waiver:  I understand that Crookston Public schools and its directors will not be held responsible for injuries or loss of personal property while the above athlete is involved in the alumni games.  I authorize the directors to secure any emergency treatment deemed necessary.

Signature_______________________________________