LEHIGH VALLEY AAU
TOURNAMENT TEAM ENTRY FORM

Form must be completed and mailed along with Check to:

Larry Weber
3059 Ridon Court
Bethlehem, PA 18020

TEAM NAME: 
 AGE GROUP:
CIRCLE TOURNAMENT: 
         MARCH 31-1            APRIL 28&29            MAY 5&6            MAY 11&12            MAY 27-28            JUNE 2&3            JUNE 16&17
CONTACT 
INFO:		 FAX:  EMAIL BUS. PHONE:

NO.

Player Name

AAU#

DOB

 Hometown, State
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
 

Coaching Staff

Name

Home 
Phone

Business 
Phone

Address: Street, City, State, Zip 

#1 Head        
#2 Asst.        
#3 Asst.        
#4 Asst.        
 

"A" or "B" TOURNAMENT  (CIRCLE ONE)

Signature of Team Coach/Club Director: ______________________________ Verification of Original Birth Certificate certifies that he/she has checked the above Original Birth Certificates.