2012

Black Sox Baseball
Registration Form

Name of Team: 

_____________________________________________ 

Manager: 

 _____________________________________________

Address: 

 _____________________________________________

City, State, Zip: 

 _____________________________________________

Home Phone: 

(        )-__        __________

Work Phone

( ___ )-________________

E-Mail

 ______________________


 
 

TOURNAMENT

 

$850

   Shoeless Joe Classic:   ___18u  ___16u
   July 6 - July 8

$850

   RIVER CITY SELECT        ____18u  ___16u
   July 13 - July 15

 

 

 

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 $__________