2010 KENTUCKY MIDDLE SCHOOL BOY’S

STATE TOURNAMENT ENTRY FORM

School:____________________ Nickname:______________

City:______________________ Current Season’s Record:_______

Coach Name:___________________ Coach Phone:____________

Coach Address:___________________ City:______________

Coach Email:_____________________ ZIP: ______________

CHECK ONE

JAN 22-24 _____ 6^th GRADE

FEB 5-7 _____ 7^TH GRADE

FEB 19-21 _____8^th GRADE

Roster:

Name # Pos. Grade

1) ______________________ ___ ___ _____

2) ______________________ ___ ___ _____

3) ______________________ ___ ___ _____

4) ______________________ ___ ___ _____

5) ______________________ ___ ___ _____

6) ______________________ ___ ___ _____

7) ______________________ ___ ___ _____

8) ______________________ ___ ___ _____

9) ______________________ ___ ___ _____

10) _____________________ ___ ___ _____

11) _____________________ ___ ___ _____

12) _____________________ ___ ___ _____

13) _____________________ ___ ___ _____

14) _____________________ ___ ___ _____

15) _____________________ ___ ___ _____

16) _____________________ ___ ___ _____

If you have any game time requests, note them here:

_______________________________________________

Mail or Fax or entry Form KBA SPORTS 273 Ruccio Way Lexington KY, 40503

Fax 859-224-7804 If you have any questions call 859-219-9272 or e-mail ken@playkba.com