Entry Form


	South Western Class "B" Championships Entry Form Team Name_______________________________________ Organization:______________________________________ Team Manager:____________________________________ Coaches:_________________________________________ Coaches:_________________________________________ Score Keeper:_____________________________________ Point of Contact: Name:__________________________________________________ Address:________________________________________________ City:_____________________State:______Zip Code:____ _______ Phone:___________________E-Mail:____________ Fax:_________ (FOR TOURNAMENT USE ONLY) Payment: CASH:________CHECK_____CHECK#______AMOUNT______ Division: 8/______ 10/______ 12/ ______ 14/ ______ 16/______ Registration Date: _____________________________________________ Approved by: __________________________________________________ Official Roster recieved with payment: YES______ NO______ Note: Every team must prove responsibility for accident insurance of their players.All team managers and or organizational representativewill be required to sign a waiver, releasing M.G.S.L. and it's represenatives of any financial, medical or legal responsibilitiesthat may result from injury to a player,manager,coach or scorekeeper. Our Printable Release and Waiver Form Tounament Page 4 >>Click here<< >>Back to Main Navigation<< >>Click Here<<