OFFICIAL ISC UNDER 19 ENTRY FORM 2010

NORTH AMERICAN MALE DEVELOPMENTAL TOURNAMENT

FASTBALL CHAMPIONSHIPS

HERITAGE PARK

FRANKENMUTH, MICHIGAN

JULY 9-10-11

Please Print

Team Name __________________________________

Manager/Coach ________________________________

Street Address ________________________________

City _____________ State or Province _________________

Zip Code or Postal Code ______________________________

Telephone (Home) ___________________ Work ___________

Cell Phone ___________________ E-mail Address _______________

Fax Number ________________

Eligibility (Born on or after January 1, 1991)

Cost $325 American (Check or Money Order)

Make payable to (ISC Male Developmental Tournament)

Send the check and entry form to:

Tom Stasik

423 Mary Lane

Frankenmuth, MI 48734 tomstasik@gmail.com

Cell Phone 989-798-6471

Home Phone 989-652-4548

Please keep a copy of the information for yourself.

You may download the roster information from the International Softball Congress website. Use the World Tournament form.