email: ctshamrocks@ctshamrocks.com

 

Registration Forms For
Summer Blast 2008

         Sanction #


Team Name: Age Group

Level: A/B

Club Name:

Club AAU#
Head Coach:

Home Phone:
E-mail:

Fax #:

Team Contact:
Name:
Address:
Town: State Zip
Phone: (Home) (Work)

(Fax)

· Please Print all information clearly, any request for playing times must be writing with this form. Requests will not be guaranteed, but we will do our best to accommodate your team. · Please let me know if you are a strong team to your age & division. · Roster (All Participants Must be Current AAU Members).

  • Please Print all information clearly, any request for playing times must be writing with this form. Requests will not be guaranteed, but we will do our best to accommodate your team.
  • Please let me know if you are a strong team to your age & division.
  • Roster (All Participants Must be Current AAU Members).

 

 

 

 

 

 

 

 

Roster Form For
2008 Summer Blast

 

Jersey #

First Name

Last Name

Date of Birth

( 00-00-00 )

Height

( 0' 00 )

 

 

 

 

 

Head Coach:

 

 

 

 

 

 

 

Asst. Coach:

 

 

 

 

 

 

 

Asst. Coach: