Name____________________________________________________________

Address__________________________________________________________

Phone _________________Email address______________________________

Graduation year_____________

List your team name here:____________________________________________

_____Check if you need a team to play on.

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_______________________________________

Make checks payable to: Crookston Boys Basketball.

Mail entries and a check to:
Greg Garmen
Crookston High School
402 Fisher Ave.
Crookston, MN 56716