Tournament Entry Form

JULY 2^nd – 4^th, 2010

Tealtown Ballpark

NATIONS SANCTIONED QUALIFIER

3 GAME GUARANTEE

AWARDS FOR 1^ST AND 2^ND PLACE

ENTRY FEE: 9U-12U $450.00 / 13U-18U $475.00

($50.00 discount if paid by June 15^th, 2010)

July 2^nd  – 4^th, 2010 REGISTRATION

Team Name: ___________________________________________

League Name: ______________________               Age:______________

Coach’s Name:_________________________________________

Address:_________________________City:__________________

Zip Code:____________ Email Address:_____________________

Telephone (H)___________________Cell____________________

ENTRY FEE: 9U-12U $450.00 / 13U-18U $475.00

($50.00 discount if paid by June 15^th, 2010)

Make checks payable to: Cincinnati Patriots Baseball Club, Inc.

Mail to:                 Cincinnati Patriots Stars and Stripes Tournament

Attn:  Kim McLaughlin

                             1186 Wingwood Trail

                             Batavia, OH  45103

Email:                    mclaughlinks@gmail.com