Club Name: _____________________________________________________

Contact/ Name: __________________________________________________

Address: ________________________________________________________

City, State, Zip:  __________________________________________________

Phone:  H  ___________  W  ___________  C  ___________  F  ___________

Email:  __________________________________________________________

Age Bracket ______________________________________________________

Level:                                        A                                              B

Coach:  _________________________________________________________

Coach Phone:  H  __________  W  __________  C  __________  F  __________

Please fill out this form.  Attach your team's roster.  Include a check for $ 400.00 per team made payable
to Connecticut Warriors.  Schedules and hotel information will be posted on our website:
www.ctwarriors.com. -Mail check and application to CT Warriors, 15 Central St. Windsor, C.T. 06095
Warrior Weekend Tournament
May30/31st 2015      4 game guarantee/ Board officials
Girls Grades 4-12 A/B/C