1st Annual Forest Park Wiffleball Tournament Charitable Fundraiser Registration
September 11, 2010 at Lagenberg Field, Forest Park, Beginning at 9 AM
Team Fee is $75 after Sept. 1st, 2010
Number of teams is limited to 64. Please sign up early
.Home Run Derby Participation - $10 per person; Derby begins at 1:00 PM
3 Games Guaranteed. Format & brackets will be determined based upon the total # of teams assigned per division.
Bracket assignments will be emailed to the Team Captain designated below within five days of tournament.
Single elimination rules will apply after the first round. Three wiffleballs provided per team. Bat will be provided.
Execution of Release of Liability Form at registration table is a condition for all participants before play.
Rules for tournament, rules for home run derby, map, and sponsorship opportunities are at on www.1904stl.com.
T-Shirts are extra - $10/shirt. See our website for more details.
Division (Check One): ______ Competitive Division _____ For Fun Division
Desired Team Name:
Team member 1 (Captain)
|
Full Name: |
Shirt? ___ Yes (if so, indicate size) S M L XL |
|
Email: |
Home Run Derby Participation? __ Yes |
|
Street |
Phone |
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City, State |
Zip Code |
Other Team Members (Only Two Additional Required)
|
Full Name: |
Shirt? ___ Yes (if so, indicate size) S M L XL |
|
Email: |
Home Run Derby Participation? __ Yes |
|
Full Name: |
Shirt? ___ Yes (if so, indicate size) S M L XL |
|
Email: |
Home Run Derby Participation? __ Yes |
|
Full Name: |
Shirt? ___ Yes (if so, indicate size) S M L XL |
|
Email: |
Home Run Derby Participation? __ Yes |
Team Registration Fee $75
Number of Home Derby Participants ($10/person) $______
Number of T-Shirts ($10/shirt) $______
Donor Acknowledgement Outfield Sign ($100/sign) $______
Total $_______
Payment: ___ Check ____ Credit Card (VISA or MASTERCARD ONLY)
If credit card use, please complete and sign below:
Circle One - VISA or MASTERCARD Full Name on Card:___________________________________
Card Number:___________________ Exp. ______________ Last Four Digits Back ___________
I hereby authorize the St. Louis 1904 World’s Fair Charitable Foundation to charge my credit card for the total charges above.
Signed:______________________________________ Date:______ Printed Name:________________________