95's REGISTRATION FORM
GRADES UP TO & INCLUDING 5th GRADE

 

TEAM NAME__________________________________

COLORS_____________________________________

DIRECTOR___________________________________

ADDRESS____________________________________

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PHONE#_____________________________________

E-MAIL___________________________________

                                                                                                                                          

HEAD COACH _________________________________ PHONE________________________

ADDRESS______________________________________

ASSISTANT___________________________ 
ASSISTANT___________________________ ASSISTANT___________________________ ASSISTANT___________________________

UP TO FOUR COACHES ARE FREE.  ADDITIONAL COACHES ARE $2.00.

WALK-ON SPOTTERS MUST REGISTER AS PART OF THE TEAM AND ADHERE TO THE SAFETY STANDARDS AND RULES SET FORTH BY THIS EVENT.

SQUAD INFO

PLEASE SEND A $2.00 REGISTRATION FEE PER SQUAD MEMBER. 

PLEASE PRINT NAMES OF ATHLETES BELOW .  

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PLEASE MAKE CHECKS PAYABLE TO: NPAA. 

REGISTRATION DEADLINE IS SEPTEMBER 15th, 2003.

 MAIL TO:  Shellie Pany

                5272 Creekview Drive

                Orefield, PA  18069