WhirlyBall Atlanta
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Nationals
National Reg Form
Individual Reg Form
Nationals
2013 Atlanta Whirlyball Nationals- Team Entry Form
Upon completion of this form you will receive an invoice for payment. Once your invoice is paid your registration will be complete.
Center:
Division
NA
A
B
C
D
Teams available date/time
Time
:
HH
MM
AM
PM
Will there be one payment for the whole team?
No
Yes
Email
*
This is the email used for the team invoice payment
Captain name:
Cell #
Shirt Size
Small
Medium
Large
Xl
Division Played Plano 2012
NA
A
B
C
D
Division Played Novi 2011
NA
A
B
C
D
Division Played Cleveland 2010
NA
A
B
C
D
Division Played Seattle 2009
NA
A
B
C
D
Division Played Atlanta 2008
NA
A
B
C
D
Division Played Dallas 2007
NA
A
B
C
D
Have you won a national title?
If so please list division/date
Please put your arrival date and time
Email
*
This is the email used for the player invoice payment
Player 2 Name:
Cell #
Shirt Size
Small
Medium
Large
Xl
Division Played Plano 2012
NA
A
B
C
D
Division Played Novi 2011
NA
A
B
C
D
Division Played Cleveland 2010
NA
A
B
C
D
Division Played Seattle 2009
NA
A
B
C
D
Division Played Atlanta 2008
NA
A
B
C
D
Division Played Dallas 2007
NA
A
B
C
D
Have you won a national title?
If so please list the divisions and dates.
Please put your arrival date and time
Email
*
This is the email used for the player invoice payment
Player 3 Name:
Cell #
Shirt Size
Small
Medium
Large
Xl
Division Played Plano 2012
NA
A
B
C
D
Division Played Novi 2011
NA
A
B
C
D
Division Played Cleveland 2010
NA
A
B
C
D
Division Played Seattle 2009
NA
A
B
C
D
Division Played Atlanta 2008
NA
A
B
C
D
Division Played Dallas 2007
NA
A
B
C
D
Have you won a national title?
If so please list the divisions and dates.
Please put your arrival date and time
Email
*
This is the email used for the player invoice payment
Player 4 Name:
Cell #
Shirt Size
Small
Medium
Large
Xl
Division Played Plano 2012
NA
A
B
C
D
Division Played Novi 2011
NA
A
B
C
D
Division Played Cleveland 2010
NA
A
B
C
D
Division Played Seattle 2009
NA
A
B
C
D
Division Played Atlanta 2008
NA
A
B
C
D
Division Played Dallas 2007
NA
A
B
C
D
Have you won a national title?
If so please list the divisions and dates.
Please put your arrival date and time
Email
*
This is the email used for the player invoice payment
Player 5 Name:
Cell #
Shirt Size
Small
Medium
Large
Xl
Division Played Plano 2012
NA
A
B
C
D
Division Played Novi 2011
NA
A
B
C
D
Division Played Cleveland 2010
NA
A
B
C
D
Division Played Seattle 2009
NA
A
B
C
D
Division Played Atlanta 2008
NA
A
B
C
D
Division Played Dallas 2007
NA
A
B
C
D
Have you won a national title?
If so please list the divisions and dates.
Please put your arrival date and time
Email
*
This is the email used for the player invoice payment
Do you have an alternate?
No
Yes
Alternate
Cell #
Shirt Size
Small
Medium
Large
Xl
Division Played Plano 2012
NA
A
B
C
D
Division Played Novi 2011
NA
A
B
C
D
Division Played Cleveland 2010
NA
A
B
C
D
Division Played Seattle 2009
NA
A
B
C
D
Division Played Atlanta 2008
NA
A
B
C
D
Division Played Dallas 2007
NA
A
B
C
D
Have you won a national title?
If so please list the divisions and dates.
Please put your arrival date and time
Questions or Comments