2010
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Registration Form |
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| Name of Team: | _____________________________________________ |
| Manager: | _____________________________________________ |
| Address: | _____________________________________________ |
| City, State, Zip: | _____________________________________________ |
| Home Phone: | ( )-__ __________ |
| Work Phone | ( ___ )-________________ |
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E-Mail
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______________________ |
| TOURNAMENT |
| $500 |
Shoeless Joe Classic: ___18u ___17u ___16u
July 3 - July 5 |
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| $500 | RIVER CITY SELECT
____18u ____17u ___16u
July 9 - July 11 |
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| IMPORTANT: All Teams must provide proof of insurance. | |
| Name of Insurance Co.: | __________________ |
| Policy # : | ________________________________ |
| Authorized Representative: | ________________________________ |
| Date: | ____________________ |
| Phone: | ____________________ |
| Emergency Phone: | ____________________ |
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Mail this form with Payment to: |
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| BLACK SOX BASEBALL
P.O. BOX 6814 EVANSVILLE IN 47719 |
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WEBSITE
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www.evansvilleblacksox.com |
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Sizes L ___ XL____ XXL___ Specify Quantity/Sizes, and Enclose Payment. TOTAL $__________ |