ENTRY FORM

International Indoor Championship

February 18th & 19th, 2012
Team Name: ______________________________

DIVISION:

Team Colors: ______________________________

Team Contact: _____________________________

(Circle One)

Women
Men
Collegiate

Address:

__________________________________________________
__________________________________________________

Phone Number: __________________________________

Fax Number: ____________________________________

E-mail: _________________________________________

Please mail Entry Form and Fee of $650.00 US, payable to:

BAHF, Inc.
PO Box 428
Baldwin, NY 11510

ENTRY DEADLINE JANUARY 5, 2012