Fall League: September 11, 2011


Countdowns




CT Northstars Individual Athlete
Registration Form

DATES:

September 11 - November 20, 2011 (High School) September 11 - November 13, 2011 (Other Divisions)

LOCATION: Bulkeley High School
AGES: 5th grade - 12th grade
GAMES: 9 Game Gaurantee
BRACKETS: “A” and “B”, schedule to be posted on the website
COST:

$100.00 athlete / $75 Hartford Resident / $50 Northstars

TOURNEY
DIRECTORS

Ray DaCosta / Katie DaCosta
P.O Box 340229
Hartford, CT. 06134-0229
(Office) 860-523-4888   (Fax) 860-432-3656

 

Please fill out the information below and click Submit Payment.
An asterisk (*) denotes a required field.

For a printable version click here.

Athlete Name:*
 High/ Middle School::
Grade:
 Contact:*
 Age: Bracket:
 Address:*
 City:*
 State:* Zip:*
 Cell Phone:
 Home Phone:*
 Work Phone:
 Email:
 Attended Last Year:
 Payment Amount:*
 Credit Card:*
 Credit Card Number:*
 Expiration Date:*

 


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