ADDRESS_______________________________________________________________________________
CITY: ________________________ STATE:_____ ZIP: __________
PHONE: (_____)________________
You may choose more than one event at a time but payment for all checked must be made at time of submission.
8-Ball Tournament $5 _____
9-Ball Tournament $5 _____
Ping-Pong Tournament $5 _____
Basketball Tournament $5 (each $20 for team) _____
Poker Tournament $20 _____
5K Run $10
Reminder that if you decide to sign up your entire team, which you may do so on this page, you must pay for the entire time at time of submission.
NAME AGE CLASS PHONE NUMBER
1. __________________________________ _______ ______ __________________
2. __________________________________ _______ ______ __________________
3. __________________________________ _______ ______ __________________
4. __________________________________ _______ ______ __________________
NO REFUNDS!!
Please make check or money order payable to JSU Sigma Pi Fraternity and place them in Student Mail Box 3071 on the 4th Floor of the TMB. If you have any questions, please fill free to contact David at [email protected] or 256-225-3133
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signature date