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2009-2010 Premier Academy Adult League Registration - Session 4

1. Complete Team Information (*required fields)
Manager's Name*
Mailing Address*
City*
State*
Zip*
Main Phone*  
Other Phone

Team Manager

  

Team Manager Email

  

Player 2 Name

  

Player 2 Email

  

Player 3 Name

  

Player 3 Email

  

Player 4 Name

  

Player 4 Email

  

Player 5 Name

  

Player 5 Email

  

Player 6 Name

  

Player 6 Email

  

Player 7 Name

  

Player 7 Email

  

Player 8 Name

  

Player 8 Email

  
Team Name
Comments  

 

2. Check the league box

Sunday Co-ed Intermediate 6's
Sunday Co-ed Power 6's
Tuesday Co-ed Intermediate 6's
Tuesday Power 4's
Tuesday Women's 6's
Thursday Co-ed Intermediate 6's
Thursday Intermediate 4's
Thursday Power 6's
Thursday Women's 4's

 

3.  Payment Information
I am paying online via PayPal
Enter your name as it appears on your Credit Card

I am mailing a check payable to:
Don Clark
4137 Thornton Ave.
Toledo, OH 43612
I will make payment at the Premier Academy
(due by the first night of league play)