Team Name

Managers Name

Managers Address

City State Zip

Home Phone Work Phone

Email Address * mandatory

League: Men's Women's Coed

Division: Gold Silver Bronze

Day: Tuesday Wednesday Thursday Sunday

Season: Spring ($425) Summer 1 ($425) Summer 2 ($425) Fall ($425) Full Season

Early Entry Discount ($50, not available for Sunday leagues) Yes No ($25 for roster & $25 for complete payment)

Total Amount Due: (Teams must also add a $50 forfeit fee if they do not have one to carry over from a previous season)

Payment Method: Cash Check Credit Card (Visa or Mastercard)

If paying cash or check, mail or drop off your payment to: 425 N High St., Muncie, IN 47305

If paying by credit card, call 765-284-2700.

Please list your preference (1st - 3rd) for what day of the week is best for possible makeup games below.