ENTRY FORM

Please complete and submit the following form if your team is interested in participating in the Hollywood Dodgers Las Vegas Invitational.  Submission of the form does not guarantee acceptance into the tournament; however, it must be completed in order to be considered.  You must also complete the online Tournament Roster Form, then submit the Tournament Waiver, Conduct Form (12th grade teams only), and the Entry Fee by mail to complete your registration package.  Please refer to the Registration Procedures for applicable fees and deadlines.  IMPORTANT!!! No teams will be considered for acceptance until ALL required materials have been received by the Hollywood Dodgers.  

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1. TEAM INFORMATION:

Team Name:   

Grade as of May 1st (youth teams only):    N/A (Adult) 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade

League Affiliation:   CYC CBO JAO NAU OCSA SEYO Other         If other, please specify:  

Current League Division:            Boys           Girls           Men 

What should we do if we can't place your team according to your preferences?
                                       Place team in a higher or lower division, whichever is most appropriate Place team in a higher division Place team in a lower division Withdraw entry form and return all paperwork and fees to sender

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2. PRIMARY CONTACT* (the individual who will receive ALL tournament correspondence):

Title:     Mr. Mrs. Ms. Dr.     First Name:      Last Name: 

Position:   Team Rep Head Coach Asst. Coach     E-mail:  

Address:

City:           State:   CA HI NV     Zip Code:  

Phone:    (Home)                (Cell)

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3. SECONDARY CONTACT* (other individual who is authorized to represent the team):

Title:     Mr. Mrs. Ms. Dr.     First Name:      Last Name: 

 Position: Team Rep Head Coach Asst. Coach     E-mail:  

Phone:     (Home)    

*QUESTIONS, COMMENTS, AND REQUESTS WILL ONLY BE ACCEPTED FROM EITHER OF THE TWO CONTACTS PROVIDED.  SOME INFORMATION IS ONLY DISTRIBUTED ELECTRONICALLY.  PLEASE PROVIDE AT LEAST ONE VALID E-MAIL ADDRESS.

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4. ADDITIONAL INFO:

Has your team participated in the Hollywood Dodgers Las Vegas Invitational before?  

Yes    No (applied but wasn't accepted)    No (first time applying)  

Comments and requests:
                  

Form submitted by:

First name:		Last name:
Email address: