Team Registration – Pigskin Tournament

Football Team Registration Form

This form must be filled out by the Head Coach

1Coach

2League

3Players

4Manager

5Payment

Head Coach Information

Team Name *

Head Coach Name *

First

Last

Coach Email Address *

Coach Contact Phone *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Payment Details

Team Registration *

Price: $ 295.00

This includes the Field Maintenance Fee

Payment Method

Team Pay
Individual Pay

Total Amount

$ 0.00

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Understanding of Cost *

I understand that, once accepted into the tournament, this is a non-refundable fee. I agree to pay the player’s fees ($55.00 per person if at a preferred hotel, $65.00 per player if not at a preferred hotel), coach’s fees of $25.00 per coach and a $45 field maintenance fee by November 1st, 2015. The player and coach’s fees include a t-shirt, patch and medal for each paying participant.

You must include an Official Team Roster provided by your league, which lists all Players’ Names, Birth Dates, Weights and Jersey Number.

Comments

Circus Circus Adventure Dome Discounted Passes

*Limited Quantities Available. Normal Price – $33. Discounted Price – $25

Phone

Football Team Registration Form

Head Coach Information

League Information

Player Information

Team Manager

Payment Details

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