2010 APA Heart of Illinois 3 on 3

                                                                         Tournament Registration Form

Registration Dates: Dec. 15^th 2009 until March 1^st

All entries are on a first come basis, limited entries excepted. No Refunds

Team Name:-------------------------------

League Operator Name:_________________________

1. Team Captain Name:_______________________________

Player #___________________ Skill level_______________________

Address:_________________________________

           _________________________________

Phone#:__________________________________

2. Player Name: _______________________

Player #____________________ Skill level______________________

3. Player Name:________________________

Player #____________________ Skill level______________________

4. Player Name#________________________

Player#_____________________ Skill level_____________________

5. Player Name_________________________

Player#_____________________ Skill level_____________________

All entries must include entry fee. Money order or cashiers check.

All handicaps will be verified with your league operator.

Mail entries to:

Hoiapa

431 Court St

Pekin, IL 61554

(309)208-2428

www.hoiapa.com