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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