Registration Information
(Copy this to send in)
8th Annual Shriners ASA Charity Ladies Fast Pitch Softball Tournament
FRIDAY – SATURDAY – SUNDAY
JULY 20, 21, & 22, 2012
GREEN VALLEY SPORTS COMPLEX
REGISTRATION FORM
TEAM NAME____________________ COACH_____________________
HOME TELEPHONE______________ EMAIL _____________________
WORK TELEPHONE______________ CELL TELEPHONE___________
HOME ADDRESS___________________________________________
TEAM DIVISION: 10 12 14 16 18
Please circle age division
Please circle your level of play and we will try to match your team with teams with the same level
A Years of Experience
B Medium Years of Experience
C Low Years of Experinece
___CHECK -$350 ENCLOSED – (Make payable to ASA Charity Softball)
MAIL TO: Franklin C. Hocker
3411 N. Elmwood Ave.
Davenport, Iowa 52806
WE MUST HAVE YOUR APPLICATION IN HAND BY
REGISTRATION DEADELINE: JULY 2, 2012
TOURNAMENT DIRECTOR:
Franklin C. Hocker
Telephone: (563) 386-5405
Email: asaumpirefrank@mchsi.com
