Team Name:

Age Group

9/10       11       12       13       14       15       16/17

Describe Teams Ability Level (If known)

Notes about team, special instructions, questions, or concerns?

Seacoast Shootout 1$450, Deposit $200.(June 2,3 - 2012)

Seacoast Shootout 2$450, Deposit $200.(June 16,17 - 2012)

Please send payment to Seacoast Sports Events, 37 Belle Lane, Lee, NH 03861.

Checks should be made out to Seacoast Sports Events.

Would you like a Friday Game?    Yes         No

Head Coach:

Home Phone:()--

Address:

Email:

City/Town, State, Zip:, ,

Team Contact:

Home Phone:()--

Address:

Email:

City/Town, State, Zip:, ,