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Competition Date Day #1: Saturday January 30, 2021
Day #1 Address: Virtual
Competition Date Day #2: Saturday February 6, 2021
Day #2 Address: Virtual
The fee for the regional competition will be $690 per team. 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 9/30/2020)
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
Line #2 (number of alternate students @ $115.00 per student) (6 alternate students defaults to the team rate)
Total from line 1 and 2. (example: $690 + $115 = $805)
Total due for the Regional Competition by November 15, 2020
I understand the total due must be postmarked by November 15, 2020 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
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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