Survey for 2023/2024 Region I Basketball

Name of Region I School *

Athletic Director First Name *

Athletic Director Last Name *

Athletic Director's Phone # *

Athletic Director's Email *

When providing blackout dates in the next series of slides, please limit the range from November 15th, 2023 through February 29th, 2024.

Please list dates where all your teams can not play any basketball games AT ALL, Home or Away, separated by a comma. Enter NONE if you do not have any blackout dates. *

Excluding the dates from the previous slide, please list dates where your teams can not play in your home gym, but your teams are capable of playing away, separated by a comma. Enter NONE if you do not have any blackout dates. *

From this point forward in the survey, for any dates you give, please exclude the dates that have already been given.

Will your school be entering team(s) into Varsity Boys play? *

Yes

For each Varsity Boys team being entered into play, please list the Head Coach's name and blackout dates only for that team. Remember, if you already listed a date previous, do not give it here. If no need to enter into one field or all fields, leave them blank.

Head Boys Varsity Coach Name & Blackout Dates, Separated by Comma: *

Varsity Boys Team 1
Varsity Boys Team 2
Varsity Boys Team 3

Will You be Entering Team(s) Into Varsity Girls play? *

Yes

For each Varsity Girls team entered into play, please list the Head Coach's name and blackout dates for that team. If no need to enter into one field or all fields, leave them blank.

Head Girls Varsity Coach Name & Blackout Dates, Separated by Comma: *

Varsity Girls Team One
Varsity Girls Team Two
Varsity Girls Team Three

Will You be Entering Team(s) Into JV Boys play? *

Yes

For each JV Boys team entered into play, please list the Head Coach's name and blackout dates for that team. If no need to enter into one field or all fields, leave them blank.

Head JV Boys Coach Name & Blackout Dates, separated by a comma: *

JV Boys Team One
JV Boys Team Two
JV Boys Team Three

Will You be Entering Team(s) Into JV Girls play? *

Yes

For each JV Girls team entered into play, please list the Head Coach's name and blackout dates for that team. If no need to enter into one field or all fields, leave them blank.

Head JV Girls Coach Name & Blackout Dates, separated by a comma: *

JV Girls Team One
JV Girls Team Two
JV Girls Team Three

Please enter Varsity Boys Primary Home Game Day/Time, and Location. If NO Varsity Boys Teams, leave blank and click NEXT.

Boys Varsity Team One
Boys Varsity Team Two
Boys Varsity Team Three

Please enter Varsity Boys Secondary Home Game Day/Time, and Location. If NO Varsity Boys Teams, leave blank and click NEXT.

Varsity Boys Team One
Varsity Boys Team Two
Varsity Boys Team Three

Please enter Varsity Girls Primary Home Game Day/Time, and Location. If NO Varsity Girls Teams, leave blank and click NEXT.

Girls Varsity Team One
Girls Varsity Team Two
Girls Varsity Team Three

Please enter Varsity Girls Secondary Home Game Day/Time, and Location. If NO Varsity Girls Teams, leave blank and click NEXT.

Varsity Girls Team One
Varsity Girls Team Two
Varsity Girls Team Three

Please enter JV Boys Primary Home Game Day/Time, and Location. If NO JV Boys Teams, leave blank and click NEXT.

JV Boys Team One
JV Boys Team Two
JV Boys Team Three

Please enter JV Boys Secondary Home Game Day/Time, and Location. If NO JV Boys Teams, leave blank and click NEXT.

JV Boys Team One
JV Boys Team Two
JV Boys Team Three

Please enter JV Girls Primary Home Game Day/Time, and Location. If NO JV Girls Teams, leave blank and click NEXT.

JV Girls Team One
JV Girls Team Two
JV Girls Team Three

Please enter JV Girls Secondary Home Game Day/Time, and Location. If NO JV Girls Teams, leave blank and click NEXT.

JV Girls Team One
JV Girls Team Two
JV Girls Team Three

If you have any additional information you would like to provide, please do so here. If none, leave blank and click Next.

Be Sure to Click SUBMIT!

Thank you for taking the time to fill out this survey!

If you have any questions, you can drop me a line at

philclarke@verizon.net or text/call at 267-977-6345.

Be Sure to Click SUBMIT!