Pottstown Rumble Entry Form
Print out this entry form and mail it to:
Pottstown Rumble Volleyball ~ 170 Aspen Lane ~ Gilbertsville, PA 19525
Make your check made payable to: Pottstown Parks and Recreation


Saturday, June 23, 2007
Circle playing level
Men's
...PRO ...AA... A ...BB... B
Women's
...PRO..... A ....BBB/B
$65 / TEAM PRO ~ $50 / TEAM OTHER

Player #1

Name:___________________________

Address:
_________________________________
Address:
_________________________________

Phone: ___________________________
Player #2

Name:___________________________

Address:
_________________________________
Address:
_________________________________

Phone: ___________________________

Sunday, June 24, 2007
Circle playing level
CO-ED: A
....BB ....B - $50 / Team
Quads: A
.... B.... $100/ Team
Juniors - $20 / Team
(Juniors - circle one ) 18 & under - 16 & under - 14 & under

Player #1
Name: ____________________________

Address:
_________________________________
Address:
_________________________________

Phone: ___________________________

Player #3
Name:____________________________

Address:
_________________________________
Address:
_________________________________

Phone: ___________________________

Player #2
Name:____________________________

Address:
_________________________________
Address:
_________________________________

Phone: __________________________

Player #4
Name: ___________________________

Address:
_________________________________
Address:
_________________________________

Phone: __________________________


Registration must be received by Wednesday, June 20, 2007.
Entries received after this date must include a $15 late fee.
No phone entries accepted.
Must be at least 18 years of age. If under 18, parent or legal guardian consent form
MUST BE SIGNED on the morning of the tournament or you WILL NOT be allowed to play.



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