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

TOURNAMENTS

$400	Shoeless Joe Classic:   ___18u  ___16u
	June 27 - June 29
$400	Razorback Shoot Out:   ___ 16u
	July 4 - July 6
$500	Razorback Select: ___ 18u
	July 4 - July 6

 
 
 
 

IMPORTANT: All Teams must provide proof of insurance.
Name of Insurance Co.:	__________________
Policy # :	________________________________
Name of 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 @ $12.00 ea.  Sizes  L ___  XL____  XXL___ Specify Quantity/Sizes, and Enclose Payment.        TOTAL $__________