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 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<<

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