Indiana Wesleyan University

2009 Lady Wildcat Shootout

School:_______________________________________________

Coach:_______________________________________________

Phone Number:________________________________________

E-mail:_______________________________________________

Please check one of the following choices:

___  Yes, we would like a reserved spot for the 2009 Shootout

and enclosed is our payment of $150

___ We are interested in participating in the 2009 Shootout

but cannot commit at this time and would like to be placed on the “Waiting List”

___ We cannot participate in the 2009 Shootout but

are interested and would like to be considered for the 2010 Shootout

Please fill out this registration form and return to:

Indiana Wesleyan University Women’s Basketball

Lady Wildcat Shootout

4201 S. Washington St.

Marion, IN 46953