REGISTRATION FORM

Every team must print and fill out this roster and turn it in with the waiver's at the time of paying entry fee.
You must have a waiver filled out for each person on the roster. You can e-mail, fax or mail entry form. Fax to 281-464-9746



TEAM

Team Name:

Team Captain:

Address:

City,State,Zip:

Contact Phone:                                                                                                                                     Alternate Phone:

---TEAM ROSTER--- If you have an APPA number and a PSP ranking, put number and ranking along with players name.

1. Name, APPA #, Div ranking:

2. Name, APPA #, Div ranking:

3. Name, APPA #, Div ranking:

4. Name, APPA #, Div ranking:

5. Name, APPA #, Div ranking:

6. Name, APPA #, Div ranking:

7. Name, APPA #, Div ranking:

8. Name, APPA #, Div ranking:

---PAYMENT INFO---

Division: $250                                                                                               

Payment (circle one): Visa / Mastercard / AMEX / Cash / Paypal

Credit Card holder name as it appears on card:

Credit Card Number:                                                                                                                              Expiration Date: