Welcome to Champion Athletics

Champion Diamonds Entry Form please print page and mail completed form to:

Champion Diamonds
Rt. 4, Box 119-1
Nevada, MO 64772
417.667.4993
417.667.4532 (FAX)

Team Name: ________________________ check one: ___ Baseball

Manager Name____________________

Name:______________________ Address: __________________________

City:________________ State:_______ Zip:__________ Day phone: _____________ Fax: ________________

Eve phone: __________________ Email:_________________________

Age____ (May 1, 2006 cutoff for baseball) of oldest player on roster. (for USSSA Baseball)

2006 USSSA Sanction Number: __________ (for USSSA baseball)

NBC sanction number 2006: ____________ For tournament of Champions (NBC World Series Qualifier)

2005 record: ____________ League played in: ____________

Has your team played at Champion Diamonds before? Yes______ No______

Tournaments won: _____________________________________________________________________________________

World Series results: ____________________________________________________________________________________

Tournament Entry #(from left schedule column)	Entry Fee (from rt. schedule column)
_______	$ __________
_______	$ __________
_______	$ __________
_______	$ __________
Tournament Date:___________________	$ __________
	$ __________ Add $20 for USSSA sanction # if needed
	$ __________ Add $50 for NBC sanction # if needed
	$ __________Total due

Do you wish to play double-headers? (circle) Yes No

Make check payable and mail to: Champion Diamonds, Rt. 4, Box 119-1, Nevada, MO 64772 No entry is considered complete until the entry fee is received. All special requests for tournament times are given priority to first entries received. Confirmation of entry will be mailed within 2 working days. Please call 417-667-4993 if there are any questions. Cancellations received less than 6 weeks prior to the tournament, will be forfeited.

The 1st 6 entries will have a Saturday start time after 10a.m. unless otherwise requested.

Entry Rcvd: ______________