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KALAMAZOO NIT REGISTRATION FORM
Register online at http:/www.usssa.com
OR
Print and return with TEAM RANKING form to:
Dan Perrin
8726 Portage Rd.
Kalamazoo, MI 49002


Team Name: ____________________________________________  


Age Division (circle one): 11U  12U  13 U  14U  15U  16U  18U       


Team Classification (circle one):  Major   or   AAA


Manager's Name: _________________________________________  


Coach's Name: ___________________________________________



Manager's Address: _______________________________________  


City: _________________________________   State:______________  Zip: ______________  


Home Phone:(_____)__________  Work Phone:(_____)___________  Fax:(_____)__________  


E-Mail: _________________________________________________


OFFICE USE ONLY

Receipt #: ________________  Amount Paid: ____________  Registration Fee: ______________

Date: ____________________  By: __________________________________