Entry Form

This is an entry form for the Quad City Blue Ice Fastpicth Tournament. 
The deatails of the Tournament are on the previous page and below. 
Please make sure you fill the form out completely and send it to the address 
below with the tournament fee. If you have any questions, 
please email us or call Dave Crosby at 309/786-3646.

                 Quad City Blue Ice
                 %Dave Crosby
                 2015 43rd Street
                 Rock Island, IL 61201

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ENTRY FORM FOR QUAD CITY BLUE ICE TOURNAMENT
    

TEAM NAME: ______________________     AGE BRACKET: __________


MANAGER: ________________________     PHONE:(____)___________

                                          CELL:(____)______________


EMAIL ADDRESS:_______________________________________________


ADDRESS: ____________________________________________________


CITY: ___________________________ STATE: _____ ZIP: _________

**Entry Fee: $230**

--Please make checks payable to Quad City Blue Ice--