
June 1 - 3, 2012
Poly
10U 12U 14U (16U/18U high school division)
$ 300.00 Team
(Early Bird - post marked by May 7 -
$325.00 after)
$ 175.00 10u FINAL
ENTRY DEADLINE MAY 21, 2012
4 GAME GUARANTEE
3 pool play games
SINGLE Elimination Bracket
Rainout refund proportionate to
number of games played
CONTACT: Lani
Monical
406-861-8164
or 406-248-5843
FAX 406-652-4235
Checks payable to:
Email: MONICALL5@BRESNAN.NET
FULL concessions available


Division 10U - 12U - 14U - (16U/18U
High School) (circle one)
Team Name ____________________________________
Managers Name_________________________________
Address ________________________________________
City_______________________ St________ Zip_______
Phone _______________________ Cell _______________
Coaches Name____________________________________
Phone _______________________Cell ________________
Contact Person (if different)___________________
Phone # _______________Cell______________
Email Address _______________________________________
Player
Name Uniform # Player Name Uniform
#
________________________ ________ ____________________ _________
________________________ _________ ____________________ _________
________________________ ________ ____________________ _________
________________________ ________ ____________________ _________
________________________ ________ ____________________ _________
________________________ ________ ____________________ _________
________________________ ________ ____________________ _________
Checks payable to: You can send final
list of players
Please mail to: to
be in the program.
Lani Monical