Team Name:
2010 Season Team Record: (enter as Wins/Losses):
2009 Season Team Record: (enter as Wins/Losses)
City/State Team is Based in:
Manager's Email Address:
Age Division:	14 years old and Under ($600.00) 16-18 years old ($700.00)
Registered with CABA?	Yes No (Add $25.00)
If Yes, enter CABA ID#: