Volleyball Co-Ed 4's Tournament

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Volleyball Co-Ed 4's Tournament Registration Form 9100 Park Ave NE - Otsego, MN 55330 www.boodoxbarandgrille.com Telephone: (763) 367-6790

Please mail or drop off completed form with payment at the bar

Date: 09/20/14 Registration Deadline: Game Start Times:

Team Fee: 11:00 or T.B.D.

$80.00

100 % Cash Payout

$500 purse provided by Boondox, plus entry fees paid back out to winners!

Tap Beer Special: Buy one pitcher and get the 2nd half off - Domestic only

3rd place - $80 gift card 2nd place - $250 cash 1st place TBD by number of teams

• Fee reflects 6.875% sales tax included • All entry fees MUST be paid at time of registration - registrations WILL NOT be accepted without form of payment

By having my name on this roster, I understand that I will not hold the Boondox Bar and Grille and/or their agents responsible for any injuries incurred while participating in their Volleyball Tournament. I agree to abide by the rules that govern this sport at the Boondox Bar and Grille facility.

Team Name Team Captain Street Address City, State, Zip

Daytime Phone Evening Phone Email Address

SATURDAY, SEPTEMBER 20TH Player Name

Card Type (circle) Credit Card Number Signature

Signature

MasterCard

Daytime Phone

Visa

Discover

Evening Phone

Email

CID: Amount Total Expiration Date