Benny Newsome Memorial - Illinois Sparks Classic

Tournament - Orland Park, Illinois

June 25^th thru June 28th, 2009

Check one age group:

___ 10U ($525) ___ 11U ($525) ___ 12U ($525) ___ 13U ($525)

___ 14U ($600) ___ 15U ($600) ___ 16U ($600)

Team Information:

Team Name: ______________________________________________

City: ______________ State: ____________ # of Players: ________

Manager’s Name: __________________________________________

Manager’s Address: ________________________________________

__________________________________

Manager’s Phone Numbers:

Daytime: ____________________ Evenings: __________________

Cell: ____________________ Email: _________________________

Payment and Mailing Instructions:

Please print this form and mail it along with checks payable to:

Illinois Sparks

Attn: BNM

P.O. Box 271

Orland Park, IL 60462

Questions directed to: Joanne Sicher, (708)403-0667, (708) 403-0668 fax

rjbks@aol.com Website: www.orlandsparks.com

_______________________________________________________________

Sparks Use:

Date Received: ___________________ Check #: _____________________