Omega Chi Lambda

Basketball Tournament

Roster List 

Team Name:__________________________________    Date:____________________

Main Contact Phone Number:________________________   Email:___________________________

Mailing Address                                                                                                                                       

Emergency Contact Name                                                        Phone                                                     

Member's Name & Their Number:

            1.______________________________      2._____________________________

            3.______________________________      4._____________________________

            5.______________________________      6._____________________________

            7.______________________________      8._____________________________

            9.______________________________      10.____________________________

            11._____________________________      12.____________________________

            13._____________________________      14.____________________________

Please make your check/money order payable to Omega Chi Lambda.

Paid by:

            Check:_______   or  Money Order:_______

Any members that are not listed on this current application will not be allowed to participate in the basketball tournament. List only the names of the actual team players of your group. Once this application is turned in, it will be official.  However, if there is any change of some sort, please give notice 48 hours ahead of time of the actual tournament date by calling (530) 321-1908

 Please print this form out along with your Basketball Tournament Rules form and mail the two forms plus you Registration Fee by the deadline to:

Omega Chi Lambda

C/O Basketball Tournament

P.O. Box 9064

Chico, CA 95927

Sponsor by

Omega Chi Lambda

California University State, Chico