|
Name of
Business: |
____________________________________________________ |
|
Contact Person: |
____________________________________________________ |
|
Address: |
____________________________________________________ |
|
City, State,
Zip: |
____________________________________________________ |
|
Phone: |
____________________________________________________ |
|
Fax or website info: |
____________________________________________________ |
|
Email: |
____________________________________________________ |
|
Name of
sponsor as it should appear
on Uniform: (print clearly) |
|
|
____________________________________________________________________________
|
|
|
Additional information
______________________________________________________
|
|
|
|
|
Protected Player
(Sponsor) |
____________________________________________________ |
|
Protected Player
(Coach) |
____________________________________________________ |
Protected Player
(Asst Coach) |
____________________________________________________ |
|
|
|
|
Coach: |
____________________________________________________ |
|
Asst Coach: |
____________________________________________________ |
|
|
|
|
Team #:
____________ |
Age:
____________ |
Payment:
____________ |
| |
|
|