Register Online for "2011 Kearney Blowout"
Registration fee for all teams is $120. Sorry, no refunds after registration submitted. A $75 fee will be retained if the event is canceled due to weather. A $3.90 handling fee will be added to your order for each team registered upon checkout. If necessary, we reserve the right to combine grades to complete brackets.
*Number of teams registering:  
*1st Team Name:
2nd Team Name:
3rd Team Name:
4th Team Name:
Choose Boys Division
3rd Grade Boys
4th Grade Boys
5th Grade Boys
6th Grade Boys
7th Grade Boys
8th Grade Boys
9th Grade Boys
Choose Girls Division
3rd Grade Girls
4th Grade Girls
5th Grade Girls
6th Grade Girls
7th Grade Girls
8th Grade Girls
9th Grade Girls
*Coach:
*Address:
*City:
*State:   *Zip Code:
*Day Phone:
( )   -
Evening Phone:
( )   -
Cell Phone:
( )   -
*Email:
Assistant Coach:
Honestly Rate Your Team:
1 = Weak / 10 = Strong
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