NORTHWEST JUNIOR JAMBOREE ENTRY FORM

Team Name:________________________________________                                             

Club Name:_________________________________________

Circle Age Division:     U18     U16     U14     U12

Circle Competition Preference:   Power    Challenge    Either way OK

Rank of this team within your club in this age division:  1st    2nd    3rd    4th    5th

Team Coach  Name:___________________________Address:_________________________________________

Team Coach  Email:___________________________Phone:_________________________________

Club Director Name:___________________________Address:_________________________________________

Club Director Email:___________________________Phone:__________________________________

Seeding information (optional-probably too early) :  
             

Please mail to:  Team Yakima, c/o Linda Thomas, PO Box 8343, Yakima, WA 98908

Entry Fee is:  $250 per team.  Make checks to:  Team Yakima

USAV rosters must be sent later.  They are due by 2/28/07.

Each team must provide qualified officials for officiating duties.  All up refs must be adults.