MARCH 16-18, 2012


CLUB NAME _________________________________________________________________

TEAM NAME _________________________________________________________________

DIVISION (CIRCLE ONE) 10U/5th 11U/6th 12U/7th 13U/8th

Head Coach ___________________________ Phone ______________ Cell _______________

Coaches Email ____________________________________ Fax ________________________

Assistant Coach ____________________________________ Phone _____________________

Assistant Coach ____________________________________ Phone _____________________

Player Name Birth Date Uniform # AAU Membership #

1 _____________________________ ____________ _________ ______________________
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All player and coaches must be AAU members Deadline 3/9/12 Cost $ 380

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

13TH ANNUAL ARIZONA THUNDER SPRING TIP OFF JUNIOR ENTRY