Rutgers vs Syracuse w/the Wolfpack
Date: Sunday March 18th, 2018
Time: 1 PM
Event Address: Rutgers Highpoint Solutions Stadium, 1 Scarlet Knight Way, Piscataway Township, NJ 08854
Questions: Email Keith Kubik (5th Grade Boys) at
Tickets will be distributed via the coaches the week prior to the game. If you have multiple children in the program, please complete the form based on the child who should receive the tickets.
ONCE YOU COMPLETE THIS FORM, PLEASE MAIL YOUR CHECK ($5.00/TICKET) MADE PAYABLE TO "LVJLC" TO:
c/o Keith Kubik
179 Old Farmers Road
Long Valley NJ 07853
***TICKETS WILL ONLY BE PURCHASED ONCE PAYMENT HAS BEEN RECEIVED***
Last Name (Player)
First Name (Player)
Boys 8th Grade
Girls 7th/8th Grade
Boys 7th Grade
Boys 6th Grade
Girls 5th/6th Grade
Boys 5th Grade
Boys 4th Grade
Girls 3rd/4th Grade
Boys 3rd Grade
Girls 1st/2nd Grade
Boys 1st/2nd Grade
Parent Phone Number
Number of Tickets Needed
Open to Family and Friends!
I understand that I will have to pay $5.00 per ticket
Please send a check for $5.00/ticket made out to: LVJLC (mail to: Keith Kubik, 179 Old Farmers Rd, Long Valley NJ 07853). TICKETS WILL BE PURCHASED ONLY IF PAYMENT HAS BEEN RECEIVED.
A copy of your responses will be emailed to the address you provided.
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