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APA Team Registration Form

To begin, tell us about your Team!

Is this a new team?*

General Information

Referring Member's Name or Player Number?

Old Division/Team or Team Name (If Applicable)?

New Team Name:

Select your League Format:*

Which night of week will your team play?*

Hosting Location Information

Team Captain's Information

Host Location:*

Street Name:

City:*

State/Province:*

Zip/Postal Code:

Telephone:

No. Of Pool Tables?*

Captain's Name:*

APA PLAYER #:

New to the APA?

Date Of Birth:

Email:

 

Home Phone:

 Work  /Cell #:

Team Members (# Players/Team required varies depending on format selected -- Only names are required)

 

PLAYER NAME

PLAYER #

NEW

Co-Captain:*

Player #3:*

Player #4:

Player #5:

Player #6:

Player #7:

Player #8:

Comments (Travel/In-House or special requests/questions you may have - Optional)

Review And Submit Your Team

Before submitting this form, please take a minute to review the information that you have entered for accuracy.


   

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