MARCH 12,13 &14 2010


CLUB NAME _________________________________________________________________

TEAM NAME _________________________________________________________________

DIVISION (CIRCLE ONE) 10U 11U 12U 13U or 8th grade school only teams

Head Coach ___________________________ Phone ______________ Cell _______________

Coaches Email ____________________________________ Fax ________________________

Assistant Coach ____________________________________ Phone _____________________

Assistant Coach ____________________________________ Phone _____________________

      Player Name Birth Date Uniform # AAU Membership #

1 _____________________________ ____________ _________ ______________________
2 _____________________________ ____________ _________ ______________________
3 _____________________________ ____________ _________ ______________________
4 _____________________________ ____________ _________ ______________________
5 _____________________________ ____________ _________ ______________________
6 _____________________________ ____________ _________ ______________________
7 _____________________________ ____________ _________ ______________________
8 _____________________________ ____________ _________ ______________________
9 _____________________________ ____________ _________ ______________________
10 ____________________________ ____________ _________ ______________________
11 ____________________________ ____________ _________ ______________________
12 ____________________________ ____________ _________ ______________________
13 ____________________________ ____________ _________ ______________________
14 ____________________________ ____________ _________ ______________________
15 ____________________________ ____________ _________ ______________________



All player and coaches must be AAU members Deadline 2/28/09 Cost $ 375

Mail checks & entry to: Arizona Thunder, 1721 W. Aster, Phx., Az. 85029