2013 Illinois Championship Registration


Team #?
Team Name?
Rookie Team:

Coach Full Name Email Cell Phone Alt Phone
Primary Coach?
Additional Coach 1?
Additional Coach 2?

Team Member First Names?
Team member first names will
be printed in the program.

Primary City?
School or Organization?
Anything unique or special
about your team or any of
it's members that we may
share with the media?

Qualifier:
Awards Received:
Championship:
Options?