2012 SSAA  SOFTBALL WORLD SERIES ENTRY FORM

TEAM NAME ________________________________________________________________ AGE and DIVISION _____________________

                                                                                                                                                                                      (boys or girls)

ADDRESS____________________________________________________________________________________________________________________

COACH NAME_______________________________________________ PHONE #___________________________________________________

ADDITIONAL PHONES (cell/work/other coach ect.) ________________________________________________________________________

                                                                                                      number to reach team in case of weather delays or schedule changes

EMAIL ADDRESS_______________________________________________________________

MOTEL WHERE STAYING ________________________________________________________

Complete and mail with fee to:                                  Entry fee: $250 plus $15 if not SSAA sanctioned for 2012

Mike Mason

7025 Burgess Falls Rd.                                                  Entry deadline July 8th

Sparta, Tn. 38583