(*asterisk indicates required field)

Tournament:

Team Information
Team Name* :		Team Website (optional) :
Coach First Name* :		Coach Last Name* :
Team Location* (example: "Seattle, WA") :
Contact Information
Team Contact First Name* :		Team Contact Last Name* :
Contact Phone*(w/area code) :		Contact Email* :
Entry Fee
Please mail district check, money order, or certified bank check (payable to "WASA District 4") for $400 to the address below:
	WASA District 4 C/O Scott Busby 7 South 44th Ave Yakima, WA 98908
Notes/Questions