Wausau East/Breakfast Optimists Youth Baseball Tournament Entry Form Team Name ____________________________ Tournament Age Group (circle):

9-10

11-12

13

14

15

Name Contact Person__________________________ Address_______________________City______________Zip_______________ Phone #________________Cell #________________Email_________________ _____________________________________________________________________ Team Name ____________________________ Tournament Age Group (circle):

9-10

11-12

13

14

15

Name Contact Person__________________________ Address_______________________City______________Zip_______________ Phone #________________Cell #________________Email_________________

Team Name ____________________________ Tournament Age Group (circle):

9-10

11-12

13

14

15

Name Contact Person__________________________ Address_______________________City______________Zip_______________ Phone #________________Cell #________________Email_________________

Please send this form, along with your entry to enter your teams in the tournament. Make checks payable to: Wausau East Lumberjacks Youth Baseball. C/O Mark Vander Sanden T1286 Granite Heights Rd Wausau, WI 54403.