2009 Gulf Coast Region - USA Volleyball

JUNIOR TOURNAMENT ENTRY FORM

Tournament Date – March 14 or 15, 2009 Name of Tournament – P.C Spring Fling

Tournament City – Panama City, FL Hosted by – Miracle Strip Volleyball Academy

Tournament Age Divisions: Girls 18 17 16 15 14 13 12 10

Team Name ___________________________________Club Name _______________________________________

Age Division _______ Team Representative Name _______________________________________

Mailing Address ________________________________________

Team Coach: City/State/ZIP Code ________________________________________

Home Phone (______)_________________

Work Phone (______)_________________

Team Rank in Club Fax (______)_________________ Home Work

_______________________ E-Mail Address ____________________________

Entry Fee: $ 175.00 Per Team Make Check Payable to: MSVA

Entry Postmark Deadline:3/7/09 Mail Entry and Check to: 3732 Greentree Place

(NO ENTRIES WILL BE ACCEPTED AFTER THIS DATE) Panama City, Florida 32405

List players in numerical order by uniform number:

Player

USA #

Uniform #

Player

USA #

Uniform #

The undersigned hereby agrees that the team has met all eligibility and officiating requirements and will abide by Gulf Coast Region and USA Volleyball rules, policies and procedures.

Signature __________________________________________

(Team Representative)

USE ONE FORM FOR EACH TEAM ENTERED

09jo tournament entry form 11/10/08