Fall Indoors _____ Winter Indoors _____
Team Name |
__________________________________________ |
Coach/Captain |
__________________________________________ |
Address |
__________________________________________ |
Home Phone |
__________________________________________ |
Work/Office Phone |
__________________________________________ |
Cell Phone |
__________________________________________ |
Beeper |
__________________________________________ |
E-Mail |
__________________________________________ |
Tee Shirt Sizes (Adult): S ____ M ____ L ____ XL ____ XXL ____ XXXL ____
I __________________________ who is the coach/captain of the above captioned team will be held financially responsible for the $_______ league fee. Enclosed is a deposit of $100 towards the league entry fee. The remaining balance will be paid in full one (1) week prior to the start of the season.
Signed ___________________________________ Date __________
Please sign and mail to:
Fred Suzel
PO Box 37
Middle Village, NY 11379