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$425, Deposit $195.

Seacoast Shootout 2$425, Deposit $195.

Please send payment to Seacoast Sports Events, PO Box 298, Durham, NH 03824.

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:, ,