Mail roster and $50 entry fee to Show Me Christian Youth Home,

Att: Judi Crawford,  24302 Mahin Road, Po Box 6, La Monte, Mo 65337

The total cost of the tournament is $150. You may send the full $150 with your roster

or just send the $50 entry fee and send the remaining $100 by March 9th

Church Name: _____________________

City: ____________________

Captain/Coach: ______________  Phone/Email:________________________

1.__________________         9.__________________

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