Badger Region - USA Volleyball  /  Tournament Entry Form
Wisconsin Select Volleyball Club - Madison Open 2005
  Check Date Division Sanction# Entries Close Site
Open I   February 26 15's 05-JT-125 Feb 15 Monona Grove High School
  February 27 17's 05-JT-126 Feb 15 Monona Grove High School
Team Name   Team Play Level

To assist with seeding circle one

Low       Medium       High
Representative  

Team ID:     FJ   ___    _________    __     ____

Address

   Phone: (h)                                  (w)
City/State/Zip   Coach  
Email:  
ATTACH SIGN-UP-TO-PLAY ROSTER ENTRY FEE: $125
Name USAV Number Uniform #

Payable to:
     

YMCA of Dane County / WSVC
       
       
      Mail entries to:
      John Kingsbury
      3534 Stonebridge Dr
      Madison, WI 53719
       
       
       
       
       
       
   

COACH

  
   

COACH

  
   

COACH

  
Please post your match results to Sign-Up-To-Play to assist with tournament seeding
Contact Person:  John Kingsbury  (608) 848-6602      wisconsinselect@tds.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.

 

Teams will not be allowed to compete until they provide USAV Member & Team Numbers

Use Sign-Up-To-Play Roster Form

Play schedules will be distributed via email and posted to our website.

 

www.wisconsinselect.com

Signature of Team Representative

 

Date

 

Last Updated 11/26/04 by Wisconsin Select Volleyball Club