TOURNAMENT DATE REQUEST FORM

Tournament Name:____________________________________________

Tournament Date:_____________________________________________

Tournament Location:__________________________________________

Tournament Class:  Open_____    A_____    B_____   C_____

Tournament Ages:_____________________________________________

Entry Fee:________________ Deadline for Entry____________________

Tournament Director:___________________________________________

Address:_____________________________________________________

City:________________________________________________________

State:_________________________________   Zip:__________________

Home Phone:________________________

Work Phone:________________________

Cell Phone:_________________________

Email:_______________________________________________________

Secondary Contact Name:_______________________________________

Home Phone:________________________

Cell Phone:__________________________

Email:_______________________________________________________

Please Fill Out Completely

Fax to:  970-532-0165 or Email to:  brucekrause@hotmail.com

Mail to:  USSSA of Colorado, PO Box 993, Berthoud, CO.  80513