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                                                          Staten Island Baseball Alliance

2016 Team Entry Form

 

Team Name: _________________________________________________________________

Manager/Team Contact: ________________________________________________________

Address: ____________________________________________________________________

Zip Code: _________ Cell Phone: ___________________ Home: _______________________

Work: _____________________ Email: ___________________________________________

 

Please choose (X) which Schedule and Division you will be participating in:

 

 SUNDAY/FULL WEEKDAY:  __________ (Fee: $2,250)                          __________________

 

 SUNDAY/HALF WEEKDAY: __________ (FEE: $1,750)                           __________________

 

 SUNDAY ONLY:____________________ (FEE: $1,250)                           __________________

 

                                                                                    Team Insurance:                          $250

 

Prior Balance: ____________                                                                      _________________

 

Credits: _________________                                                                     _________________

 

                                                                               TOTAL FEE DUE:         _________________

 

 

Sunday Preference:     9am: ________          11am: ________

 

Division: T-M Major: ________     Legends Sports Murphy: ________     Tomasino: _­­________

 

*Special Requests______________________________________________________________

 

 

Weekday Preference: My Team would like to play:

 

Please select game day preferences: (1 thru 5 with 1 being top priority)

 

Monday: ______   Tuesday: ______   Wednesday: ______   Thursday: ______   Friday: ______

 

*Special Requests_______________________________________________________________

 

 

Please make out all checks to: STATEN ISLAND BASEBALL ALLIANCE

Mail checks to: Dennis Modafferi – 123 Kelvin Ave. Staten Island, NY 10306

 

* Please note that Special Requests must be submitted on this form PRIOR to the Schedules being made.