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2004 NSA Girl’s Fast Pitch SUPER World Series Official Entry
Form
10U – 12U – 14U
“A” and “B” Divisions
September 3-6, 2004 EastSide
Centre – E. Peoria, IL
ENTRY DEADLINE: August 18, 2004
Name of Team:
___________________________________________________________________________
NSA Team Division: _________________________ NSA Classification:
_____________________
AGE: 10u / 12u /
14u
Class: A / B
2004 NSA Sanction
Number: _________________________________________________________________
City
Team is From-City: _________________________________________________ State:
_____________
Manager’s Name:
_________________________________________________________________________
Managers Mailing
Address: __________________________________________________________________
City:________________________________________ ST:_______________________ Zip:
______________
DayPhone: (__________)
_____________________Evening Phone: (__________) _____________________
Fax: (_________) ___________________________ Cell Phone: (__________)
________________________
Email:
___________________________________ Alternate Email:
_________________________________
Hotel
you are staying: ________________________________________________
City:________________
Local Phone for Hotel
(NOT the 800#): ________________________________ # Rooms Booked: ________
I understand as Manager
of this team that it is MY responsibility to insure that all of the above
information meets all deadlines and requirements. I understand that if my
entry is late, incomplete, or missing information, it may be returned. I
understand that NO players will be added to MY teams Roster at the tournament
site. I understand the rules governing the addition of players for the Girls
Fast Pitch Super World Series as outlined in the NSA Rule Book. I understand
and agree to the refund policy set forth in the NSA Rule Book.
Manager’s Signature: ________________________________________ Date:
______________
World Series or NIT DIRECTORS – Please forward this form, the Team’s Roster and
Insurance from the Super NIT or World Series to:
NSA
PO Box 187
Fenton, MI 48430
NOTE: TEAMS ENTERING After
the completion of the World Series MUST SUBMIT DIRECTLY TO THE ADDRESS LISTED
ABOVE. DO NOT send to your State Director!
ALL TEAMS MUST
Include your Entry Fee of $250 made payable to: NSA
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