Team Roster Form
Sacred Heart Booster Club Tournament
June 5-6, 2010
Bill Burke Park – Salina , KS
Age Division (mark one): 9-Under 10-Under 11-Under 12-Under

Team Name:
Head Coach/Contact:
Address:
City:
      State:       Zip:      
Home Phone: Work Phone: Cell Phone:
E-mail:

TEAM ROSTER
Number Player Birth Date

Age cut-off is May 1st
Age divisions will be strictly enforced. No exceptions
Make check out to Sacred Heart Booster Club.
Send form in care of
Brad Dix
337 W. Beloit
Salina KS 67401   email: braddix1@yahoo.com