EmailMe Form - PIVP 1st Annual Volleyball Tournament

TEAM INFORMATION

OFFICIAL REGISTRATION: Please fill out completely. All tournament information will be taken from this form. Please type or print clearly.

Name of Team *

CODE # *

PIVPM

PIVPW

Team Manager *

Person in charge of implementation of ALL rules

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Email *

TEAM ROSTER - ROSTER DUE ON 3/17/12

Name *

First Last

Team Manger

Name *

First Last

Name *

First Last

Name *

First Last

Name *

First Last

Name *

First Last

Name

First Last

Name

First Last

Name

First Last

Name

First Last

YOUR TEAM IS NOT REGISTERED UNTIL ALL FEES ARE PAID.

REGISTRATION FEE MUST BE ENCLOSED WITH THIS FORM. ENTRY FEE IS $125 PER TEAM IF TEAM REGISTERS BEFORE FEBRUARY 18 AND $150 PER TEAM AFTER FEBRUARY 18. REGISTRATION FEES ARE NON-REFUNDABLE UNLESS EVENT IS CANCELLED.

Price

$ Dollars . Cents

PLEASE RETURN COMPLETED REGISTRATION FORM AND ENTRY FEE CHECK (PAYABLE TO PIVP) BY MARCH 17, 2012 TO:

PIVP
4609 ODESSA AVE
FORT WORTH, TX 76133

OR by PAYPAL (return to PIVP website)