Northeastern Lady Panthers

Tournament Pre-Registration Form

(Submit one for each team)

 

Tournament:
Team Name: Age Group: Level:
Club Name:
Club AAU#:
Head Coach:
Home Phone:
E-Mail:
Fax #:

Team Contact
Name:
Address:
Town: State: Zip:
Phone: (Home) (Work) (Fax)

Roster
Jersey #First NameLast NameDate of Birth
(MM-DD-YY)		AAU#
Head Coach:
Asst. Coach:
Asst. Coach:

 

Additional Comments/Questions:
This form is emailed directly to the Northeastern Lady Panther Organization for information purposes only!  Your payment is to be received within 5 calendar days of submission to reserve a slot.  Once registration fee is received, an email will be sent to you confirming your attendance.  We reserve the right to mark our tournament full prior to the cut off date! PLEASE REMEMBER TO HIT THE SUBMIT BUTTON