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    2017-2018 Registration Form



    Deadline September 14, 2017

    ABCD 2017-2018 Registration Form

    Team Name:*
    Check if new team:

    Playing Location Information
    Tavern/Bar/Club/Association:* 
    Address: 
    City/Town:* Zip Code +4:
    Phone#:Proprietor:

    Captain's Information
    Name:*
    Mailing Address:*
    City/Town:*State:*Zip Code +4:*
    Phone#:*Alternate Phone#:
    E-Mail Address:*

    Alternate/Co-Captain's Information
    Name:*
    Mailing Address:
    City/Town:State: Zip Code +4:
    Phone#:Alternate Phone#:
    E-Mail Address:*

    Team Roster Information (6 Players Minimum - 12 Players Maximum)
    Player (First & Last Name) Team player shot for last year
    Player 1 First:  Last: Last Years Team:
    Player 2 First:  Last: Last Years Team:
    Player 3 First:  Last: Last Years Team:
    Player 4 First:  Last: Last Years Team:
    Player 5 First:  Last: Last Years Team:
    Player 6 First:  Last: Last Years Team:
    Player 7 First:  Last: Last Years Team:
    Player 8 First:  Last: Last Years Team:
    Player 9 First:  Last: Last Years Team:
    Player 10 First:  Last: Last Years Team:
    Player 11 First:  Last: Last Years Team:
    Player 12 First:  Last: Last Years Team:

    Team Preferences
    Conference: [A] [B] [C ] [D]
    Division: [ High] [Medium] [Low]


    Nominations for the 2017-2018 Season for Conference Representatives

    . Please write down up to 2 nominations from your team or another team that would like to be a conference representative. All nominees will be notified, if no phone number listed then that person would not be considered. Elections will occur on the captain's meeting 1 week prior to the start of the season.
    Nomination #1    Name:    Phone Number:
    Nomination #2    Name:    Phone Number:

    Registation Fee: $250
    Make Check or Money Order Payable to: ABCD
    Send Check or Money Order to:
    ABCD
    129 Rock rd
    Hawthorne NJ 07506





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