OFFICIAL TOURNAMENT ENTRY BLANK
	Sanctioned by the United States Volleyball Association and the Hoosier Region
Please print and complete separate forms and attached separate entry fee check for EACH TEAM
TOURNAMENT:			Nitro Open				Entry fee : $250
Age Group:			10/12/13/14		Tournament Date: 2-2-2008				Entry Deadline: 1-25-2008
					USJNC#
Team Name							Team USAV #
Team Rep							Email
Team Rep's Address							Phone #
	City				State		IN	Zip
Impact Certified Coach							Coach USA#
JERSEY #		PLAYER NAME				USA VB#				Position
COACH
ASST COACH
No entry will be accepted unless entry blank is completely filled out including an email address &
accompanied by the entry fee and signed by the Team Representative.
Mail checks payable to Susan Jenkins 8865 Sommerwood Drive, Noblesville, In. 46060
The undersigned hereby states that the above data is correct, and full information included. Penalty
by rejection of entry or disqualification. The above persons have read carefully the eligibility rules
applying to USA VB play. All uniforms must be identical. No numbers smaller than 6" on the back
and 4" on the front.
Signature of Team Rep