Hoopsters

REMEMBER ALL GAMES ARE MONDAY THROUGH THURSDAY ONLY AND BEGIN PROMPTLY AT 7PM!!!

WILLIE 103.5 HOOPSTERS
BASKETBALL REQUEST FORM
WILLIE 103.5 HOOPSTER GAMES ARE FOR
CHARITIES/SCHOOL PROGRAMS ONLY!!!

ALL GAMES ARE MONDAY THROUGH THURSDAY ONLY!!!
ALL GAMES BEGIN PROMPTLY AT 7PM

Please fill out all of the following accurately and completely.

This form is only a request and games are not officially booked until this form is
agreed to in writing by official Willie 103.5 radio personnel.

Willie 103.5 reserves the right to cancel and/or reschedule games at any time due to unforseen circumstances.

Willie 103.5 provides the following....
- At least 1 personality to participate in event
- Public address announcer
- Pre-promotion of the event
- Giveaways

You provide the following...
- Venue where game will be played
- 2 referees
- Public address system
- CD player (for pregame/halftime music)
- Backup public address announcer
(only to be used if Willie 103.5's announcer cannot appear)
- Basketballs
- Water for players (bottled or coolers with cups on bench)
- Directions to venue (must be included with game request)
- Proper insurance for event and/or venue

Willie 103.5, its affiliates, employees, or players will not be held responsible for any injuries that may result in any of the activities….

Contact Person*	Contact Phone 1*
Contact Phone 2*	Contact Email*
Date Requested (include 3 possibilities)*	Venue Where Game Will Be Played*
Directions To The Venue*	Team that Willie 103.5 Will Be Playing*
Charity/Program Being Played For*	Cost for Game* (if different prices for children please list amount and age. i.e. 12 and under $2.00)
Dinner Before Game?* YESNO	What Will Be Served?*
Will There Be A Concession Stand?* YESNO	If Concession Stand What Will Be Available?
Yes..I understand that by submitting this form I am signing the agreement with my submission acting as the signature

Submit
* Required