Dodgeball Registration Form FINAL .pdf

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Original filename: Dodgeball Registration Form FINAL.pdf
Author: Rachel Bassett

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Hosted By: The Marine/St. Jacob Jaycees
April 25, 2015
10:00am – 2:00pm
Marine Elementary School -725 West Division Street, Marine, IL 62061
The Marine/St. Jacob Jaycees are having a Nerf Dodgeball Tournament. Each team is guaranteed 2 games,
with chances to advance to the final round. Awards will be presented to the first placed team, along with
the best dressed team. So, grab your sweatbands, spandex, and short-shorts and come ready to play!
*Participants must be at least 18 years of age
 Teams will be composed of 6 players, no more or no less
 $60 per team, or $10 per person
 Team sign-in will start at 10:00am on the day of the tournament, followed by warm-up
 Games will start at approximately 10:30am
______________________________________________________________________________________
Registration Form
Division:
Competitive
Non-Competitive
______________________________________________________________________________________

Roster Information
Team Name: ___________________________________________________________________________
Participant Name: _____________________________________Birthdate: _________________________
Participant Name: _____________________________________Birthdate: _________________________
Participant Name: _____________________________________Birthdate: _________________________
Participant Name: _____________________________________Birthdate: _________________________
Participant Name: _____________________________________Birthdate: _________________________
Participant Name: _____________________________________Birthdate: _________________________
Team Contact: ______________________________
Phone Number: _____________________________Email: __________________________________
______________________________________________________________________________________
Payment Method
Registration forms/payment can be mailed to
Or submitted online to
Rachel Bassett
marinestjacobjaycees@yahoo.com
PO Box 212
with payment posted to PayPal
Marine, IL 62061
______________________________________________________________________________________
Please make checks payable to Marine/St. Jacob Jaycees
*Send No Cash*
To access the forms online please visit facebook.com/MarineStJacobJaycees1

– Deadline to Register is April 18, 2015 –


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