DODGEBALL LEAGUE REGISTRATION

DATE_________

NAME__________________________

EMAIL_________________________

PHONE_________________
TYPE OF ENTRY:
CAPTAIN

TEAM PLAYER

NON-COMMITTED SUB

FREE AGENT: YES or NO

IF NO WHO IS YOUR CAPTAIN _______________

SHIRT SIZE______

JERSEY NUMBER CHOICES (TOP 3) ____________

REFERRALS_______________ ____________________ ________________

CAPTAINS ONLY:
TEAM MEMBERS ______________

_________________

_______________

_______________ ___________________ _______________

PAYMENT METHOD: (DUE BEFORE 1st GAME)

CASH

CHECK

SIGNATURE

____________________________

CARD