Team Name _____________________________ Age_______Manager Name __________________________
Address ________________________________
City _______________________ State _______ Zip ________
Home Phone _______________ Work Phone ________________
Fax ________________ E Mail _____________________________
Team classification: Major AAA AA A
USSSA Team Sanction Number ____________________________
Tournament Location Entered ____________________________
Entry Fee 6-14 $325
15-18 $350
Entry fee must be included with form.
Make checks payable to: USSSA Baseball
Send to:
USSSA Baseball
