SUN
SAT & SUN
SAT
Team/Club
Contact: First
Last
Street
City
Zip
State/Country
Contact Ph
eMail
Total Entry Fee $$
Varsity Gold
B or Jr Varsity
Frosh Soph
JHS Middle School
U12
U10
Girls
Varsity International
Varsity Silver
Varsity Bronze
Total Teams
Registration Fees :
NCYRA Teams
Registered ( & paid) by Dec 12th, 2011. First Team: Additional Teams:
Registered (& paid) Dec 13, 2011 to Jan13 2012. All Teams:
Non-NCYRA teams, per team for all teams entered:
N/A
$250
Club/Team Contact Information Information
Team(s) Entered Entered