Registration Form

Black Creek Youth Sports Machine Pitch Tournament

Please Circle One:   Class A Team or Class B Team

When:   June 15^th, 16^th and 17^th 2012

Where: Class A tournament @ Sebald Park (East on Birch St from Hwy 47)

              Class B tournament @ North Diamond

Entry Fee: $150 due by June 1^st. Please make checks payable to: Black Creek Youth Sports

Team Name: ________________________________________

Coach/Contact Name: __________________________________

Address: ____________________________________________

Phone Number: _______________________________________

Please send registration and check to:

Todd Javoroski

N5083 Jochman Rd

Black Creek WI 54106

Phone (920) 731-0785

Thank you and we look forward to seeing you this summer

Tournament Roster

Please submit the roster prior to your first game. Players must be 8 or under as of June 1 2012. Teams must bat the entire roster. Proof of age must be available upon request. Thank you

Team Name: ______________________________

Coach: ___________________________________

Players 1. ___________________        DOB: _____________

   2. ___________________        DOB:______________

   3. ___________________       DOB:______________

   4. ___________________       DOB: ______________

   5. ___________________        DOB:_______________

   6. ___________________        DOB: ________________

   7. ___________________        DOB: _______________

   8. __________________           DOB:________________

   9. __________________           DOB:________________

 10. ___________________        DOB:________________

 11. __________________          DOB:_________________

 12. ___________________        DOB: _________________