Entry Form: Old Devil's RFC Tournament - Tempe, Arizona Event Entry Form Please complete all fields in the following form submission to the Tournament Organizers. Mail the form and entry fee, simply complete all the blank fields on-screen, print, and then mail the form. Before sending the form, please remember to print a copy of it for your records. Old Devils RFC PO Box 2381 Tempe, AZ 85280 Loren Broussard Tournament Coordinator Email: lorenb2k@yahoo.com Scott Chambers Club President William Thompson Club Coach We are pleased to accept your invitation to the rugby function to be played in Arizona and we wish to register the following information: Today's Date: dd / mm / yyyy Club Name: Team Name: Jersey Colour(s): Club CIPP#: LAU: Contact Person: Full name Contact Address: Country: Phone: Include country and area codes Fax: Include country and area codes E-mail Address: Registration Fee* There will be a Tournament Registration Fee: (Please select the event(s) to enter.) AZ High School Tournament (April) U19 Summer Camp U15$30 Youth 7s Tournament (June) U19 U15 contact: saltyt@juno.com Touch Rugby League (June-August) Open$100 Youth$TBD Sizzling 7s (June) (Q)Men$250 Open Men$200 OpenWomen$100 Youth Rugby Clinic (December) Youth$50 New Club Memberships Adult$200 U19$50 $________ Total enclosed Check# ___________ *Non-refundable entry registration fee. Unless event is canceled Discount based on postmark date on envelope. NO PHONE ENTRIES. NO DAY OF EVENT ENTRIES.