18th annual lavergne int

lavergne tennessee

 

Team Name:__________________________­­­_______2008 BPA Sanction #___________

(If your team does not have a sanction go to www.playbpa.com   to apply for a 2008 sanction number)

 

Coach Name:__________________________________________________

 

Address:___________________City:_____________State:______Zip:___

 

Phone (H):___________________________(W):_____________________

 

Cell:_____________________Email:______________________________

 

 

Team Mom’s Names________________________________________ Phone ______________________________

 

Team Mom’s Email Adress____________________________________________________

 

Age Group (Circle one):   6u 7u  8u    $165.00    9u 10u  11u  12u     cost $265.00     13u  295.00

 

Mail the registration form and tournament fee  too      Tennessee BPA  370 South Lowe Ave Suite A Box 114  Cookeville, TN 38501