SAS Tournament Registration

* Required Field

Tournament Date(s): September 16 (Saturday Only)     Boys: $175.00    Girls: $125.00

Team Information

Team Name:*
City Representing:*
Team Gender and Grade Level:*
Division:*
(Elite D1)    (Intermediate D2)   (Novice D3)

Contact Information

Name of person entering this form:*
Best phone # for person filling out this form:*
Email address for person entering this form:*
Confirm Email:*

Head Coach Information

Head Coach Name:*

Credit Card Information

Card Holder First Name:*
Card Holder Last Name:*
Card Holder Address:*
Card Holder City:*
Card Holder State:*
Card Holder Zip Code:*
Card Type:*
Card Number:*
Expiration Date:*
/
CCV Code:

This is the 3 digit number that appears on the reverse side of your credit card
(where your signature appears).
Amex cards only - the 4 digit number on the front of your card.


Verification:*
Please answer this question.
1 +1 =  

 

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