ASA OF PA

18U RQ/NQ Entry App

Please complete all information and click "Submit". Your information will be emailed to the tournament director - Tina Sanders.

Make check payable to "ASA of PA" in the amount of $435 and mail to: Tina Sanders, 266 S Christian St., Cleona, PA 17042 within 7 days of submitting this entry.

NOTE: ASA Official Tournament Entry form and original ASA Championship roster will be required at check-in along with ACE Certification and Background Check credentials. Players will be required to sign-in and provide Photo IDs.

Team Name*

ASA State/Metro Association*

Manager's Name *

First Name

Middle

Last Name

Manager's Address *

Address Line 1

Address Line 2

City

State

Postal Code

Phone*

Alt. Phone (Cell)*

Email*

NOTE: 2012 ASA Background Checks required for all adult members of team. At least 1 coach must have 2012 ACE Certification. Proof of clearance and/or completion must be presented at check-in.