Name of Team: 

NSA Team Division:   NSA Classification:
                                  Division: Men's/Women's/Coed                                                           Class: A/B/C/D/E/Open

NSA Sanction #:   State Director:  

City Team is From-City:     ST:            

   Where Team Qualified:     Date: 

Managers Name:
Managers Mailing Address:
          City:     ST: Zip:

Daytime Phone: ()  Evening Phone: ()

Fax: ()    E-mail:

Event Team is Entering: Date of Trny:

Hotel:     # Rooms Booked:
My signature as manager indicates that I am entering the above tournament as a representative of my team. 
I understand the Tournament MAY BEGIN ON FRIDAY, and that MY TEAM MAY BE REQUIRED TO PLAY ON FRIDAY. 
There are NO entry refunds after the entry deadline.  The NSA Rule Book contains full refund policy, available online
24/7 www.playnsa.com   Entry in to any NSA tournament constitutes acknowledgement and agreement to the refund policy
and all rules and bylaws of NSA.
Manager’s Signature: ________________________________________ Date: ______________