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Official Registration Form
Print this registration form, fill it out and return it with the registration fee to:

St. Joe's 3 0n 3
41 1st Street Eastd
Waconia, MN  55387
$60 if paid by September 12th, 2011 - $85 after.
Team #:        ______________________________ Date:            ______________________________
Team Name: ______________________________ Division:       ______________________________

   

Player 1 (Captain)                            Sex:  M    F
Player 2                                                  Sex:  M    F
 

Name:     ________________________________

Address: ________________________________

City:       ________________________________

State:     ______    Zip:____________

Phone: (H) ______________   (W) ________________

Age:  __________   Grade:  __________

Email:_____________________________________

Signature: _________________________________

Name:     ________________________________

Address: ________________________________

City:       ________________________________

State:     ______    Zip:____________

Phone: (H) ______________   (W) ________________

Age:  __________   Grade:  __________

Email:_____________________________________

Signature: _________________________________

Parent or Guardian if under 18 - See release stated at bottom of page. Parent or Guardian if under 18 - See release stated at bottom of page.
Player 3                                                  Sex:  M    F
Player 4                                                  Sex:  M    F

Name:     ________________________________

Address: ________________________________

City:       ________________________________

State:     ______    Zip:____________

Phone: (H) ______________   (W) ________________

Age:  __________   Grade:  __________

Email:_____________________________________

Signature: _________________________________

Name:     ________________________________

Address: ________________________________

City:       ________________________________

State:     ______    Zip:____________

Phone: (H) ______________   (W) ________________

Age:  __________   Grade:  __________

Email:_____________________________________

Signature: _________________________________

Parent or Guardian if under 18 - See release stated at bottom of page. Parent or Guardian if under 18 - See release stated at bottom of page.
I hereby release and hold harmless the sponsors, promoters, and all other persons or entities associated with this event from and against any and all losses, damages, claims, causes of action, or liabilities of any kind arising from or related to my participation in and attendance in this event.