Tournament Name______________________________________ Date________________________
Team Name________________________________________ League_________________Dist______
Team Contact Person__________________________________Title___________________________
Address____________________________________________________________________________
City/State/Zip_______________________________________________________________________
Home Phone______________Work Phone______________Fax_____________Email____________
Roster information
Coach______________________________________ Asst. Coach_____________________________
Phone_________________Email________________ Phone_____________ Email_____________
| Player Name | Birthdate mm/dd/yy | Circle Selection | ||
| 1.__________________________ | _____________ | |||
| 2.__________________________ | _____________ | Gender: M F | ||
| 3.__________________________ | _____________ | Class: 1 3 | ||
| 4.__________________________ | _____________ | Age Group: U9 U10 | ||
| 5.__________________________ | _____________ | |||
| 6.__________________________ | _____________ | If you are not from Dist. 3 | ||
| 7.__________________________ | _____________ | you will have to get | ||
| 8.__________________________ | _____________ | permission from your | ||
| 9.__________________________ | _____________ | Dist. Tourament Dir. or | ||
| 10.__________________________ | _____________ | Dist. Com.---Sign below | ||
| 11.__________________________ | _____________ | |||
| 12.__________________________ | _____________ | ________________________ | ||
| 13.__________________________ | _____________ | |||
| 14.__________________________ | _____________ |