Name: __________________________Parent’s Name:_________________________

Address: ______________________________________________________________

Town: __________________________________State: ______ Zip: ______________

Phone:____-_____-_______ Date of Birth___________________________________

Email Address:________________________________________________________

I prefer to be on a:  National Team____  Regional Team_____ 

*  National Teams attend 8 tournaments.  Regional Teams attend 6 tournaments.

** Pleae fill out this form and bring to the tryout**