Entry Fee $325.00 check made out to Wellington Wild Fastpitch Softball
Or register online at http://www.usssaflorida.com/
Proof of USSSA Registration and Insurance is required
Entry Deadline May 6, 2007, including payment.
Team Information

Team Name___________________ _ Age group ______ A or B (See Above information before entering as a "B" Team)

USSSA #__________________ Insurance Company & # ___________________________

Team Contact Information:

Coaches name:____________________________________________

Home Address: ___________________________________________

Tel: Home_________________________ Work : _____________________________

Cell: ______________________________ e-mail: ______________________________

Other Contact: _________________________Check # and amount________________________

Tournament Director: Gordon Patterson Tel: 561-313-6983
e-mail: gordonp@ix.netcom.com
Mail completed entry forms and entry fee to Wellington Fastpitch Softball, c/o Chris McCleary
1 Arch Drive West, Lake Worth, Fl 33467