Delta Streets Academy 3 on 3 Basketball Fundraiser

Player's Name *

Player's Age *

Player's Contact Phone Number *

Are you the team Captain? *

Yes

No

Team Name *

Are you a free Agent? *

Yes

No

Form of payment (Team Captain and Free Agents Only)

Cash App : $CoachJHolland

Cash or Check brought to the school on or before Tuesday, May 21.

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Team Roster (Team Captains Only)

Please list all of the players on your roster.