Victoria Playmakers Tournament

Team Name	_________________________________________
Age Division	________________
Team Colours Home	________________
Team Colours Away	________________
Contact/Manager
Name	___________________________________
Street Address	___________________________________
City	___________________________________
Prov/State	_________________
Postal/Zip Code	_________________
Home Phone	_________________
Bus Phone	_________________
Cell Phone	_________________
Fax	_________________
Email	___________________________________
Contact in Victoria
Name	___________________________________
Street Address	___________________________________
Home Phone	_________________
Bus Phone	_________________
Comments

Fees: $900 CDN/US

Deposit	$ _________________
Balance Due Dec 31, 2011	$ _________________

Please mail this completed form with your entry fee of $900 CDN/US or deposit of $200 CDN/US to Ken Bray, Playmakers Tournament Registrar, 2425 Dunlevy St. Victoria, BC V8R 5Z1. The tournament entry fee must be paid in full by December 31, 2011. Please make cheques payable to Victoria Playmakers Tournament. Thanks for your help. If you have any questions please do not hesitate to contact us.

NOTE: This tournament could have games scheduled on Tuesday, Wednesday, Thursday, Friday, and Saturday. If your team cannot commit to playing on any of these days, please indicate in the Comments section above, the days NOT available. We will try to accommodate you in the schedule, however if we are unable to accommodate, we may select another team with less time restrictions.

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