2010 TOURNAMENT REGISTRATION FORM

Name of Tournament                                              Fee (included)___

Name of Team

Age Division

Head Coach

Primary E-Mail

Secondary E-Mail

Cell #

Home #

Assistant Coach

Primary E-Mail

Secondary E-Mail

Cell #

Home #

USSSA Registration #

Insurance Carrier

Policy number

__________________________________                                   _____________

Signature of Head Coach                                                                           Date