Please provide the following contact information:

Name
County
Address
Work Phone
Home Phone
Email Address

Please provide the following information: 

Levels: 1,2,3,4  1-Highly Skilled  4-Low Skills

Age: Master, Senior, Junior, 3-on-3 

Trad/Unified: Traditional/Unified Sports

Level	Age	Trad/Unified	Team	Gender*	Coach's Name	Coach's Phone
1 2 3 4	Masters Seniors Juniors 3 on 3	Traditional Unified		Male Female Co-Ed
1 2 3 4	Masters Seniors Juniors 3 on 3	Traditional Unified		Male Female Co-Ed
1 2 3 4	Masters Seniors Juniors 3 on 3	Traditional Unified		Male Female Co-Ed
1 2 3 4	Masters Seniors Juniors 3 on 3	Traditional Unified		Male Female Co-Ed
1 2 3 4	Masters Seniors Juniors 3 on 3	Traditional Unified		Male Female Co-Ed
1 2 3 4	Masters Seniors Juniors 3 on 3	Traditional Unified		Male Female Co-Ed
1 2 3 4	Masters Seniors Juniors 3 on 3	Traditional Unified		Male Female Co-Ed
1 2 3 4	Masters Seniors Juniors 3 on 3	Traditional Unified		Male Female Co-Ed
	Skills	Traditional		Co-Ed

* Co-Ed Teams are required to play in the men's divisions. 

 

Level	Able to Play	Possible Home Location and times**
January 9	Yes No
January 16	Yes No
January 23	Yes No
January 30	Yes No
February 6	NO	STATE CONFERENCE IN INDY
February 13	Yes No
February 20	Yes No
February 27**	Yes No
March 6	Yes No

 

**Polar Bear Plunge

**Does not denote automatic home game, just helps with scheduling.

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