Peninsula Youth Softball Association

Peninsula Youth Softball Association
15th Annual
Cool Breeze Softball Tournament
Registration Form

Please Print All Information:

Team Name: ____________________________________________

Mailing Address: (street) __________________________________________

(City, State, Zip) ________________________________________________

Representative:( Name, Phone) ________________________(___)_______________

(Fax, Email) (____)______________________________________

Division	8 & U ________	X $350.00 =	_________
Division	10 & U ________	X $350.00 =	_________
Division	12 & U ________	X $350.00 =	_________
Division	14 & U ________	X $350.00 =	_________
	Total Fee	Enclosed :	___________

Deadline For Registration is June 1st, 2008. Call first. It usually fills up early.

I HEREBY WAIVE AND RELEASE , PENINSULA YOUTH SOFTBALL ASSOCIATION (PYSA), CITY OF SAN DIEGO, ANY AND ALL CO-SPONSORS FROM ANY AND ALL INJURIES OR ILLNESSES WHILE IN ATTENDANCE AT THIS TOURNAMENT:

__________________________________________________________

Signature and Phone Number of Authorized Team Or League Representative

Mail Registration Form With Fee(S) To:
PYSA Cool Breeze Tournament
4430 Monaco St.
San Diego, CA. 92107

For Information Contact:
Brian Duran
Phone (619)226-4115
Email: bduran@cox.net