56th Annual New York State Moose All - Star Baseball Tournament

Eliminations, if needed - August 16 - 17th, 2008

Rain Dates - August 23 - 24th, 2008

Finals - August 30 - 31st and September 1st, 2008

Binghamton, New York

Team Name ______________________________________________ Lodge # _______________

Team Manager ____________________________________________ Phone # _______________

Address __________________________________________________ Zip __________________

Email ____________________________________________________Cell # _________________

  Final Roster Limited to 14 Players (Minimum (12) Players)

     I, the undersigned hereby make application to play in the All-Star Baseball Tournament with the above team, under the direction of the N.Y.S. Moose Association. I agree to abide by the rules and regulations set forth in this tournament and will accept in good faith any and all decisions of the officials in charge. I, the undersigned, also certify that the age and date of birth is correct and will present my birth certificate when requested. I understand that if my age is not correct I will be disqualified. I have consent of my parents and / or legal guardians.

      Age   Birthdate      Players Name                                              Parents Signature

 1. ____ __________ _________________________________ _____________________________

 2. ____ __________ _________________________________ _____________________________

 3. ____ __________ _________________________________ _____________________________

 4. ____ __________ _________________________________ _____________________________

 5. ____ __________ _________________________________ _____________________________

 6. ____ __________ _________________________________ _____________________________

 7. ____ __________ _________________________________ _____________________________

 8. ____ __________ _________________________________ _____________________________

 9. ____ __________ _________________________________ _____________________________

10. ____ __________ _________________________________ _____________________________

11. ____ __________ _________________________________ _____________________________

12. ____ __________ _________________________________ _____________________________

13. ____ __________ _________________________________ _____________________________

14. ____ __________ _________________________________ _____________________________

< >