2012 Magic Madness Registration
CLUB INFORMATION
Club Name:
Team Name:
CLUB AAU NUMBER:
CLUB CONTACT:
CLUB ADDRESS:
Phone Number:
Club Email:
TEAM INFORMATION
Age Group:
Level:
B
C
COACHES NAME:
COACHES PHONE:
COACHES CELL:
PLAYER INFORMATION
NUMBER
LAST NAME
FIRST NAME
SCHOOL
AAU NUMBER
PLEASE MAIL PAYMENT OF $400 PER TEAM TO
CT. MAGIC
104 BOARDMAN ROAD
BRISTOL CT 06010
ATTN: TORUNAMENT DIRECTOR
Email:for information about paypal payment
ctmagic@connecticutmagic.com
