Division:        12U            14U            16U/18U

Team Name:

City / State:

Head Coach:

Email:

Phone:

Can you play on Friday (July 4th)?       Yes       No

How did you hear about us?

Requests or Comments:

Select a Payment Option: venmo      mail check

I RELEASE ANY AND ALL LIABILITY FROM THE TOURNAMENT DIRECTOR AND ANY OTHER PARTIES INVOVLED FOR ANY DAMAGES AND/OR INJURIES INCURRED AT THIS TOURNAMENT. FURTHERMORE, I ALSO AGREE TO THE FOLLOWING:

- I will provide a roster and proof of insurance prior to my 1st game
- I understand that the tournament committee reserves the right to change the format of the tournament due to amount of teams or inclement weather