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 keith.kubik@griturf.com

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:

LVJLC
c/o Keith Kubik
179 Old Farmers Road
Long Valley NJ 07853

***TICKETS WILL ONLY BE PURCHASED ONCE PAYMENT HAS BEEN RECEIVED***
Email address *
Last Name (Player) *
Your answer
First Name (Player) *
Your answer
Player Grade *
Parent Phone Number *
Your answer
Number of Tickets Needed
Open to Family and Friends!
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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.
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A copy of your responses will be emailed to the address you provided.
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