Victoria Playmakers Tournament

Team Name____________________________________
Age Div________		# of Players
No.	First Name	Last Name	Position	Birth Year (if over 69)	Previously Inducted
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+
___	________	____________	_____	_____	70+ 80+

Your Name:_________________________________

Comments:

Please mail this completed form to Ken Bray, Playmakers Tournament Registrar, 2425 Dunlevy St. Victoria, BC V8R 5Z1 no later than February 15, 2012. Please note that you are permitted to make roster changes after you have submitted your roster. The February 15^th deadline is to give us sufficient time to prepare the program and game sheets.

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