Field Hockey Extravaganza

TEAM NAME _________________________________________  COLOR ____________________________
PARENT ORGANIZATION __________________________________________________________________
COACH/CONTACT ________________________________________________________________________
ADDRESS_______________________________________________________________________________
CITY/STATE/ZIP __________________________________________________________________________
PHONE  H) _______________________ W) ________________________ FAX) _______________________
E-MAIL _____________________________________________

COMPETITION	_____A LEVEL	_____B LEVEL
	For Scheduling purposes only	
AGE GROUP	_____10-11 MS	_____12-13 MS	_____U16 JV	_____U18 Varsity	

Roster Maximums: Rosters are unlimited, however only 12 awards will be presented per team.
Remember, all coaches must be prepared to present proof of age at any time during the tournament.
Return completed form with registration fee payable to:

Field Hockey Extravaganza
c/o 11022 Reisterstown Road
Owings Mills, MD  21117