2010

Black Sox Baseball
Registration Form
Name of Team:  _____________________________________________ 
Manager:   _____________________________________________
Address:   _____________________________________________
City, State, Zip:   _____________________________________________
Home Phone:  (        )-__        __________
Work Phone ( ___ )-________________
E-Mail
 ______________________

 
 
TOURNAMENT
$500    Shoeless Joe Classic:   ___18u  ___17u ___16u
   July 3 - July 5
$500    RIVER CITY SELECT        ____18u  ____17u   ___16u
   July 9 - July 11
IMPORTANT: All Teams must provide proof of insurance.
Name of Insurance Co.:                   __________________ 
Policy # :   ________________________________
Authorized Representative:   ________________________________
Date:   ____________________
Phone:   ____________________
Emergency Phone:   ____________________

Mail this form with Payment to:
BLACK SOX BASEBALL
P.O. BOX 6814
EVANSVILLE IN 47719
Questions?   Call  C.J. Johnson    812-431-7566
WEBSITE 
     www.evansvilleblacksox.com
RESERVE: Tournament T-Shirts @ $15.00 ea. 
Sizes  L ___  XL____  XXL___
Specify Quantity/Sizes, and Enclose Payment.        TOTAL $__________