|
Fill
out completely and bring to the tournament event you
wish to participate in. Call your local tournament
director for any details.
Region: _ Lake:_____
Date:
Name:________________________S.S. #:_______-_______-______
Address:_________________________________________________
City:__________________ ZIP:_________ Phone:(______)________
Signature:________________________________________
Name:________________________S.S. #: ______-_______-______
Address:_________________________________________________
City:__________________ ZIP:_________ Phone:(______)________
Signature:___________________________________________
|
Additional
fees and/or permits may be added.
Check
with your local tournament director for details.
|
|
Team
Entry
|
$175.00
|
$
|
____________ |
| Team
Entry |
*Where
Applicable |
$150.00*
|
$
|
____________ |
| Semi
- Pro Entry |
$120.00
|
$
|
____________ |
| Super
Team Entry |
$350.00
|
$
|
____________ |
| Single
Membership |
$35.00
|
$
|
____________ |
| Family
Membership |
$50.00
|
$
|
____________ |
|
Total $
|
____________ |
|
You
must sign a liability waiver at the tournament
site
|
|
