Attributes in bold are required.

Choose One:	D2L 5-MAN X-BALL (Amateur) D3L 5-MAN X-BALL (Novice)
Team Name:
Name:
Captain Name:
Adress:
City:
State:
Zip Code:
Phone:
Fax:
E-Mail:
5-Man Series Event Date Selection::	July 25
1. Roster (Name & Ranking D2 or D3):
2. Roster (Name & Ranking D2 or D3):
3. Roster (Name & Ranking D2 or D3):
4. Roster (Name & Ranking D2 or D3):
5. Roster (Name & Ranking D2 or D3):
6. Roster (Name & Ranking D2 or D3):
7. Roster (Name & Ranking D2 or D3):
8. Roster (Name & Ranking D2 or D3):
Player Name (fill this out if this is your 1st time registering in 2009):
Address (fill this out if this is your 1st time registering in 2009):
City (fill this out if this is your 1st time registering in 2009):
State (fill this out if this is your 1st time registering in 2009):
Zip Code (fill this out if this is your 1st time registering in 2009):
Phone (fill this out if this is your 1st time registering in 2009):
E-mail (fill this out if this is your 1st time registering in 2009):
Current Team Name:
Pervious Teams Played For:
When did you play in your first paintball tournament?:
What was the name of that team?:
What was the date of that first tournament?:
National Tournaments previously played in:
What is your most recent NPPL/PSP Player Classification?:	None Rookie Novice Amateur Pro
What was your Chi-Town Series Rank last year?:	Young Guns D3L D2L
Other tournaments played in?: