ENTRY FORM

COMPLETE AND MAIL THIS FORM, ALONG WITH $350.00 PAYABLE TO 

THE BREWSTER ROCKETS TO:

Jim Kelly

C/O

Brewster Rockets

2503 Carmel Ave. #115

Brewster, NY 10509

(203) 270-8637

Email: Rockets1jk@aol.com

18U

TEAM NAME:       ________________________________________

CONTACT PERSON________________________________________

MAILING ADDRESS         ________________________________________

                          ________________________________________

EMAIL:                ________________________________________

EVENING PHONE     _____________________

DAYTIME PHONE    _____________________

FAX                       _____________________

BEEPER/CELL         _____________________

ALTERNATE CONTACT  ___________________________________

EVENING PHONE            ___________________________________

DAYTIME PHONE            ___________________________________

EMAIL                           ___________________________________

BRACKETS, GAME SCHEDULES, ETC. WILL BE WILL BE AVAILABLE ON OUR WEBSITE BY JUNE 1^st.

Hotel information available from The THS Company at www.thsweb.com