In-Person Registration Form

Registration Deadline is October 13, 2017.

Download the form at this link in PDF format: 2017 Fallfest Registration Form

PLEASE ENCLOSE THE FOLLOWING INFORMATION

  1. This application completely filled in with Entry fee, check or money order payable to LPOA (please put team name and age division on check). Entry Fees: U9 & U10 $225.00, U11&U12 – $275.00, U13&U14 – $300.00, U14&U19 – $325.00 A $25 late fee will be applied to any late entries if accepted.
  2. Approved ASSA team roster. Roster, Player Cards and Birth Certificates are required at check-in, Friday the 28th
  3. Please provide a good email as all communications will be done by EMAIL!
  4. Withdrawal from the tournament after October 13, 2017 will result in loss of entry fee.
  5. If tournament is rained out a 75% refund or tournament make-up dates will be established. If one day of tournament is played, there will be no refund and winners will be determined from the games played.
  6. Rain delays will be available at (501) 771-9973.

SEND TO:

LPOA
P.O BOX 95378
NORTH LITTLE ROCK, AR 72190
EMAIL: ginnymarlin@yahoo.com
(501) 753-4937


Fallfest Medical Release

Tournament Rules

Fairfield Inn North Little Rock Hotel Reservation Information 


Online Registration Form

Notice: Registration will not be received without payment. If you are not redirected to Paypal, please visit www.paypal.com and make your payment to “lakewoodpropowners@yahoo.com.”

If you wish to download the Registration Application and turn it in in-person along with payment,
you can download it at this link in PDF format: 2017 Fallfest Registration Form

Registration Category and Cost:

Name of Person Completing Registration

Email of Person Completing Registration

Team Name

Age Devision U_____

Co-Ed or Girls
Co-EdGirls

Association or Club

Coach Information:

Coach

Street Address

City, State, and Zip

Home Phone (include area code)

Mobile Phone (include area code)

Number for Text Messages (include area code)

Coach Email

Manager Information:

Manager

Street Address

City, State, and Zip

Home Phone (include area code)

Mobile Phone (include area code)

Number for Text Messages (include area code)

Email

Team History

2017 Fall Season Record
Won:
Lost:
Tie:

What Division Played - 2017 (A,B,C)

At what hotel will you be staying?

Should all information be sent to the coach or manager?
coachmanager

Is there anything we should be aware of regarding your team’s entry?