Tournament Registration - Team Indiana Volleyball Club

Use this form to register your team for any of our 2008 Team Indiana events. You may only
register one team per form. If you have any questions please contact Kristin.

Tournament:
(check all that apply for this team)

Credit Card
Services

	Date	Tournament	Age Groups	Cost	Registration Deadline
	5/10-11/08	TI Classic	12, 13, 14, 15, 16	$375	4/30/08

Team Information

*Team Name:

*Age Division:

*Team Representative:

*IMPACT Certified Coach:

*Team Address:

*City:

*State:

*Zip:

*Phone Number:

*Email Address:

*Team FJ Code:

*Coach USAV#:

Roster Information

Name

USAV #

Uniform #

Player 1

Player 2

Player 3

Player 4

Player 5

Player 6

Player 7

Player 8

Player 9

Player 10

Player 11

Player 12

Player 13

Player 14

Player 15

Payment Information
Tournament Fee(s) + $5.00 transaction Fee

*First Name:

*Last Name:

Company:

*Address:

*City:

*State:

*Zip:

*Home Phone:

*Credit Card Number:

Visa, MasterCard, American Express are accepted.

*Expiration Date:

*CVC Number:

General Information

Question(s)/Comment(s):

*Your email verifies this information is accurate.