Champion Diamonds Entry Form please print page and mail completed form to:

Champion Diamonds
Rt. 4, Box 119-1
Nevada, MO 64772
417.667.4993
417.667.4532 (FAX)

Team Name: ________________________ check one: ___ Baseball
Manager Name____________________
Name:______________________ Address: __________________________
City:________________ State:_______ Zip:__________ Day phone: _____________  Fax:  ________________
Eve phone: __________________     Email:_________________________
Age____ (Aug 1, 2004 cutoff for baseball) of oldest player on roster. (for USSSA Baseball)
2004 USSSA Sanction Number: __________ (for USSSA baseball)
NBC sanction number 2003: ____________ For tournament of Champions (NBC World Series Qualifier)
2003 record: ____________ League played in: ____________
Has your team played at Champion Diamonds before?  Yes______     No______
Tournaments won: _____________________________________________________________________________________
World Series results: ____________________________________________________________________________________
Tournament Entry #(from left schedule column) Entry Fee (from rt. schedule column)
_______ $ __________
_______ $ __________
_______ $ __________
_______ $ __________
  $ __________ 
$ __________ Add $20 for USSSA sanction # if needed
$ __________ Add $50 for NBC sanction # if needed
  $ __________Total due

Do you wish to play double-headers? (circle) Yes No

Make check payable and mail to: Champion Diamonds, Rt. 4, Box 119-1, Nevada, MO 64772 All tournament slots are filled on a first come- first served basis. No entry is considered complete until the entry fee is received. All special requests for tournament times are given priority to first entries received.  Confirmation of entry will be mailed within 2 working days. Please call 417-667-4993 if there are any questions.  Cancellations received less than 6 weeks prior to the tournament, will be forfeited.

Entry Rcvd: ______________