Wall Wizards Wicked Weekend
June 23 & 24 , 2007

Registration Form

 

 

Team Name: _________________

 

Age Group: __________________

 

Coach: ______________________

 

Address: _____________________

 

____________________________

 

Home Phone: _________________

 

Cell Phone: ___________________

 

Email: _______________________

 

Entry fee $400

 

My team wants to play 1 game on Friday night.   yes  / no

 

Mail to:

 

Wall Wizards     
c/o Tim Clayton                                  
2809 Garfield Street                                     
Wall, NJ  07719