Team Name ___________________________________________________
Age Group (circle one) 8U 9U 10U 11U 12U. Players ages are determined by USSSA guidelines. Copies of birth certificates must be carried with manager.
Manager Name _________________________________________________
Manager Phone Number home _________________cell _________________
Manager Email __________________________________________________
Team Insurance Provider ______________________________ . Team insurance is required.
Mail payment to the address below. Make checks payable to host team.
Team Name _______________________________________
Coaches
First Last
Players
First Last