Madison Open Tournament Form

Badger Region - USA Volleyball / Tournament Entry Form

Wisconsin Select Volleyball Club - Madison Open 2002

	Check	Date	Division	Sanction#	Entries Close	Site
Open I	FULL	January 12	14's	02-JT-014	Jan 5	Monona Grove High School
Open I	FULL	January 13	16's	02-JT-015	Jan 5	Lodi High School
Open II	FULL	March 23	15's	02-JT-018	March 16	Monona Grove High School
	FULL	March 23	14's	02-JT-018	March 16	Waunakee High School
	FULL	March 24	17's	02-JT-019	March 16	Monona Grove High School
	FULL	March 24	18's	02-JT-019	March 16	Waunakee High School

Team Name	Rank	1 2 3 (Rank within your club)
Representative	Team ID		FJ ___ _________ __ ____
Address	Phone: (h) (w)
City/State/Zip		Coach
Email:

PLAYER / COACH NAME	USAV MEMBER #	UNIFORM #	ENTRY FEE: $90
			Payable to:
			YMCA of Dane County / WSVBC


			Mail entries to:
			John Kingsbury
			3534 Stonebridge Dr
			Madison, WI 53719




		COACH

Contact Person: John Kingsbury (608) 848-6602 kingjm@chorus.net

The entry blank must be completed in full, signed by the team representative and accompanied by the entry fee in order to be valid for acceptance into the tournament. The undersigned hereby certifies that the information provided is accurate. The host tournament director, at his/her discretion may request the provision of an individual member's USAV registration card and a picture ID for the purpose of verifying a player's eligibility.