LEAD POISON PREVENTION PROGRAM

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3-on-3 Basketball Tournament

August 16th

9am-5pm Lynch Middle School Amsterdam N.Y

Join us for a 3-on-3 basketball tournament on Saturday August 16th. All games follow official FIBA 3x3 rules. Teams are guaranteed a minimum of 3 games through pool play, with top teams advancing to a single-elimination bracket.

Location: Lynch Middle School, Amsterdam, NY

Divisions

Boys & Girls 4th–5th Grade Boys & Girls 6th–7th Grade Boys & Girls 8th–9th Grade Boys & Girls 9th–11th Grade Men's & Women's 18+

Details

Up to 5 players per team

FIBA 3x3 rules

Pool play + single elimination

3-game minimum

Must Play with age group! only one team sign up or teams risk disqualification***

Please come ready to play in bring your own Jersey's /uniforms

Event t-shirt will be supplied to players

Player First Name

Player Last name

Parent Email for under 18 years old

Phone

Address

Cell Phone Number

Team Information

Please provide the name of your team and team roster. All players must provide team roster on their sign form.

Team name

Team Roster 5 Players Max

Team Division

Emergency Contact

Contact first Name

Contact Last Name

Relationship

Phone Number

I am over 18 and dont need to fill out parent information

Parent Information for players under 18

Parent Name

Parent Relationship to Child ?

Phone

"Lead is a toxic metal that can be found in old paint, dust, soil, and even some plumbing materials. Exposure to lead—especially from peeling or chipped paint in older buildings—can cause serious health problems, particularly in children, including learning difficulties, developmental delays, and damage to the brain and nervous system. It's important to recognize that all forms of lead are dangerous, and proper precautions should be taken to avoid contact or inhalation."

Waiver: I understand that participation is at my own risk and hereby release the event organizers, staff, and venue from any liability related to injury or loss during this event.

by checking this

Signature of Parent/Guardian (if under 18):

Date: ____________________