Summer Outdoors _____ Fall Indoors _____ Winter Indoors _____

Adult _____ Boys _____ Girls _____

If Boys or Girls:
18&Under ___ 16&Under ___ 14&Under ___ 12&Under ___ 10&Under ___

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 ____

(Youth): S ____ M ____ L ____




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