Ball Runner Electronic Registration Form

Name

Age

Girl

Boy

Address

City

State

State should be 2 letter abbreviation 

Zip

Phone

Phone number should be in the format: (123)123-1234 

E-mail

T-Shirt Size

Youth L
Adult S Adult M Adult L

Have you been a ballrunner for the Nationals before?

Yes No

If yes, how many years?

Do you want to be considered for a Team Captain or Co-Captain?

Yes No

I would like to be on the same team with:

For more information, contact:

Karen Hassevoort
Email: khassevoort@gmail.com
Phone: 269.569.5160
Tournament Office
Phone: 269.337.7343
Fax: 269.337.7385

If you do not want to fill the electronic form
Download Print & Mail
Return form by May 31, 2012 to:
Karen Hassevoort • 2210 Crane Avenue • Kalamazoo, MI 49001
Email: khassevoort@gmail.com