EmailMe Form - CNY Shootout Registration

Team Name *

Coach Name *

Division *

Boys

Girls

Grade *

Talent Level *

A

B

C

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Email *

Day Played *

Team Roster *

*Please include Name, Age, Grade and DOB

**Tournament official reserve the right to question age and grade. Please have birth certificates available upon request.

Notes