Team Name:
Team Captain:
Address:
Phone:
City: ST: Zip:
Email:
Team Member 1:
Team Member 2:
Team Member 3:
Alternate:
The Entry cost for the league is $300.00 total for all 7 months of the League per team and must be paid by 3/15/10. For any Team member that is an EMR One-Year Pass Holder, that counts for $100.00 of the entry. Pass Holder 1 $0.00 Pass Holder 2 $0.00 Pass Holder 3 $0.00 Non-Pass Holder Number x $100.00 = Total Paid $ AFTER PAYING - MAKE SURE TO HIT CONTINUE –OR ELSE YOUR REGISTRATION WILL NOT BE SUBMITTED!