BADGER TOUR ENTRY by mpr39513

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									                     2007 BADGER TOUR ENTRY FORM
                                                                                                                      Checks made out to
Tournament Name: Badger Tour                                     Entry Fee: $450.00                                   Wisconsin Power
                                                                                                    Fill out the portion below left to right and
                                                                                                    then adding the total amount of reg. fee
   Host \ Date          January 21st        February 11th         March 11th                                  sent with the entry form.

    West Allis               12's                 12's                 12's                         Number
                                                                                                                    Age Div       Total Fee
    Lightning             07-JT-151            07-JT-152            07-JT-152                      of Teams

                             13's               17/18's                15's
     FC Elite
                          07-JT-139            07-JT-141            07-JT-142
    Wisconsin                14's                 15's                 16's
     Juniors              07-JT-144            07-JT-145            07-JT-146
                             15's                 13's              17/18's
Milwaukee Sting
                          07-JT-043            07-JT-044            07-JT-046
    Midwest                  16's                 14's                 13's
    Penguins              07-JT-106            07-JT-108            07-JT-111
    Wisconsin              17/18's                16's                 14's
     Power                07-JT-075            07-JT-044            07-JT-084
  Send entry form and fee to:                      Office #:           608-838-8474
          Wisconsin Power                              Cell #:         608-234-8520
          C/O Badger Tour                              FAX #:          608-838-9463
                                                                                                     Total
       5214 North Autumn Ln.                          e-mail:      davidbayer_2@hotmail.com
                                                                                                    Reg. Fee
        McFarland, WI 53558                         Web site:        wisconsinpower.net
                                                 Team Information
    Club Name:                                                                            Age Division:

   Team Name:                                                                             Team Code:
             Please rank your team based on it's place within it's age division in the Badger Region. (CIRCLE)
   Team Rating:                            Top 1/3                Middle 1/3               Bottom 1/3
                     Team Rep and Coach Contact Information - Both Required
Team Rep. Name:                                                                       Phone #

  Email Address:                                                                        Cell #

 Coaches Name:                                                                        Phone #

  Email Address:                                                                        Cell #

    THE TEAM'S OFFICIAL "SIGN UP TO PLAY" ROSTER, INCULDING USAV MEMBERSHIP
  NUMBERS OR MEMBERSHIP NUMBERS APPLIED FOR, MUST BE ATTACHED TO THIS ENTRY
                                      FORM.
   Non-Badger Region Teams must submit a roster that includes = Name, Uniform Number, USAV Number

This team registration form must be completed in full, signed by the team's representitive, and be accompanied by
the tournament entry fee, before it can be considered valid for entrance into the tournament. The undersigned
hereby certifies that the information provided is accurate. Penalty for incorrect or misleading information may be
rejection or disqualification from said tournament.


    TEAM REP:                                                                          DATE:

								
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