Please print this form, fill it out, and then mail it to address below!

Tournament Date:  April 9th, 2016

Team Name (1st Side):

 

Jersey Colors:

 

Team Name (2nd Side):

 

Jersey Colors:

 

Contact Name:

 

Address:

 

Phone:

(H)

 

(W/C)

 

E-mail:

 

 

 

 

 

 

 

Registration Fee:

 

______  $375.00 per Club and/or Team

Total enclosed:  ____________ 

Registration Fee and Form Deadline:  Saturday the 31st of March, 2015

Your Registration Form must be received to guarantee entry . . .

Make Check Payable to:

  ISU Women's Rugby Club

     NO CASH WILL BE ACCEPTED!!

Mail your Registration Form and Check to:

5th Annual Pack the Pitch Pink Tournament

c/o Evie Hansen, (C) 224-202-1236 - Vice President

Check #:

 

Date:

 

 Amount:

 

Authorized by:

 

 

Questions:

 

 

 

Contact one of the Tournament Directors:

Kristen Weisenberger, (C) 630-272-4544 - President

Evie Hansen, (C) 224-202-1236 - Vice President

Leah Rocks, (C) 708-203-7099 - Match Secretary

If you need a receipt, other than your cancelled check, make a copy of the filled out form and use it as your receipt!