Competition Registration

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Competition Date Day #1: Saturday January 26, 2019
Day #1 Address: 11111 Alemany Drive, Mission Hills, California 91345

Competition Date Day #2: Saturday February 2, 2019
Day #2 Address: TBD

The fee for the regional competition will be $690 per team. This rate has not changed for several years now. If you have additional players they can compete as alternates for $115 per student up to 6 students, any more than 6 students will automatically default to the full team rate.

(Form Last Updated 9/23/2018)

School Name: *

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Coaches Name(s) *

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Directions:

Student Registration: Please fill out the information on the following three lines completely.

Names of Students: Please list the names of all the students that will participate in the Scrimmage.

Line #1: Please select the number of Teams on line 1

Line #2: Please write the total number of alternate students on line 2

Write the total amount due in the Total Line

Number of Teams: *

1 Team ~ Cost: $690.00

2 Teams ~ Cost $1380.00

3 Teams ~ Cost $2070.00

4 Teams ~ Cost $2760.00

Required

Line #2 (number of alternate students @ $115.00 per student) (6 alternate students defaults to the team rate)

Your answer

Total from line 1 and 2. (example: $690 + $115 = $805) *

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Total due for the Regional Competition by November 1, 2018 *

I understand the total due must be postmarked by November 1, 2018 or a $100.00 late fee will be billed: Please make checks out to J Schnelldorfer, PSAD and mail them to 2094 Creekridge Avenue, Simi Valley Ca 93065

Required

Please Print this form before submitting: To Print: PC Users, select (Ctrl+P); MAC Users, select the (Command +P) *

I have printed a copy of this form (please use a copy of this form as an invoice if needed)

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