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World Championship Jr. Over The Line Application Please complete the application below and then print it and mail to the address below or email it to us at otl@ombac.org " ----------------------------------------------------------------------------------------------------------------------------------------------- OMBAC JUNIOR OTL WORLD CHAMPIONSHIPS FIESTA ISLAND Sunday - June 28, 2009 TEAM NAME_________________________PHONE:________________________ ________________________ CAPTAIN'S NAME _______________________________DATE OF BIRTH_________________ ADDRESS_______________________________________ CITY STATE ZIP__________________________________ PLAYER #2_____________________________________DATE OF BIRTH_________________ ADDRESS______________________________________ CITY STATE ZIP_________________________________ PLAYER #3_____________________________________DATE OF BIRTH__________________ ADDRESS______________________________________ CITY STATE ZIP_________________________________
DIVISION: PEEWEE 5-6 ____PEEWEE 7-8 ____ BOYS: 9-10 ____11-12 ____13-14 ____15-17 ____18-20 GIRLS: 9-11____12-14 ____ 15-17 ____
SEND TO: Junior OTL, 2145 North Slope Terrace, Spring Valley, CA 91977 "---------------------------------------------------------------------------------------------------------------------------------------------------------------- YOU MAY ENTER AS A SINGLE PLAYER OR TWO-PLAYER TEAM. WE WILL TRY TO MATCH YOU WITH A TEAM. WE RESERVE THE RIGHT TO EDIT ANY TEAM NAME. NAMES MUST BE IN GOOD TASTE. Note: The OMBAC Jr. OTL Committee reserves the right to reject any participant or application
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Over-The-Line, OTL, and OMBAC are registered trademarks of
Old Mission Beach Athletic Club, ALL RIGHTS RESERVED. please contact: Patrick "Chops" Wells, 2805 Golden Grove Pl., Lemon Grove, CA 91945, 619-602-3421 or at txranger@cox.net |
