MINNESOTA PASTIME

P.O. BOX 1063 VIRGINIA, MN 55792

218-741-0826 OR 800-247-0210

E-MAIL: minnpast@cpinternet.com

MEN’S POOL LEAGUE SIGN - UP SHEET

TEAM NAME______________________________________________________________________________________

SPONSOR NAME__________________________________________________________________________________

ROSTERS MUST BE FILLED OUT COMPLETELY.

WE NEED THIS INFORMATION FOR MAILING YOU INFORMATION

1. CAPTAIN - MUST HAVE A PHONE NUMBER LISTED

FIRST NAME_________________________LAST NAME___________________________PHONE:__________________

ADDRESS___________________________________________________________________________________________

CITY_____________________________STATE:________ ZIP CODE________________DIV. 2009-2010_____________

E-MAIL ADDRESS:___________________________________________________________________________________

2. REGULAR

FIRST NAME_________________________LAST NAME___________________________PHONE:__________________

ADDRESS___________________________________________________________________________________________

CITY_____________________________STATE:________ ZIP CODE________________DIV. 2009-2010_____________

E-MAIL ADDRESS:___________________________________________________________________________________

3. REGULAR

FIRST NAME_________________________LAST NAME___________________________PHONE:__________________

ADDRESS___________________________________________________________________________________________

CITY_____________________________STATE:________ ZIP CODE________________DIV. 2009-2010_____________

E-MAIL ADDRESS:___________________________________________________________________________________

4. REGULAR

FIRST NAME_________________________LAST NAME___________________________PHONE:__________________

ADDRESS___________________________________________________________________________________________

CITY_____________________________STATE:________ ZIP CODE________________DIV. 2009-2010_____________

E-MAIL ADDRESS:___________________________________________________________________________________

***IF YOU USE A NICKNAME, BE SURE TO ENTER YOUR FULL NAME AS WELL SO THERE ARE NO DOUBLE STATS ENTERED DURING THE SEASON. THANK YOU!***

1. SUB

FIRST NAME_________________________LAST NAME___________________________PHONE:__________________

ADDRESS___________________________________________________________________________________________

CITY_____________________________STATE:________ ZIP CODE________________DIV. 2009-2010_____________

E-MAIL ADDRESS:___________________________________________________________________________________

2. SUB

FIRST NAME_________________________LAST NAME___________________________PHONE:__________________

ADDRESS___________________________________________________________________________________________

CITY_____________________________STATE:________ ZIP CODE________________DIV. 2009-2010_____________

E-MAIL ADDRESS:___________________________________________________________________________________

SPONSOR FEES MUST BE TURNED IN WITH THE COMPLETED ROSTER ON TUESDAY, SEPTEMBER 21, 2010 AT 7:00 P.M. AT TOMMY’S RAINY LAKE. SPONSOR FEES ARE $75.00 PER TEAM. LEAGUE STARTS OCTOBER 5, 2010.

(ADDITIONAL COPIES OF THIS FORM AVAILABLE AT WWW.MINNPASTIME.COM)