GORDY "MAC" MCFARLAND SPORTS COMPLEX LEAGUE REGISTRATION 2011

1. Please fill out this form and send your deposit check for $375.00 or League Fee check for $750.00 to Derrick Rolingsmeier

League fees are due before your team is put on the schedule.

 

The forfeit fee of $30.00 will be refunded at the end of the season if there are no forfeits .

Name____________________________ Team name____________________________

Address______________________________ City, State, Zip_____________________

Phone number___________________________ Cell phone______________________ 

E-mail _______________________Which night do you want to play_______________

Men Women Coed_______________ Do you want in the preseason tournament______

Check in the amount of _____________ Date_______________

Thanks

Derrick Rolfingsmeier

5 Barracuda Dr. Highland,Il 62249         contact info - (618) 792 - 2326  /  gordymactoy@gmail.com