Staten Island Baseball Alliance
2016 Team Entry Form
Team Name: _________________________________________________________________
Manager/Team Contact: ________________________________________________________
Address: ____________________________________________________________________
Zip Code: _________ Cell Phone: ___________________ Home: _______________________
Work: _____________________ Email: ___________________________________________
Please choose (X) which Schedule and Division you will be participating in:
SUNDAY/FULL WEEKDAY: __________ (Fee: $2,250) __________________
SUNDAY/HALF WEEKDAY: __________ (FEE: $1,750) __________________
SUNDAY ONLY:____________________ (FEE: $1,250) __________________
Team Insurance: $250
Prior Balance: ____________ _________________
Credits: _________________ _________________
TOTAL FEE DUE: _________________
Sunday Preference: 9am: ________ 11am: ________
Division: T-M Major: ________ Legends Sports Murphy: ________ Tomasino: _________
*Special Requests______________________________________________________________
Weekday Preference: My Team would like to play:
Please select game day preferences: (1 thru 5 with 1 being top priority)
Monday: ______ Tuesday: ______ Wednesday: ______ Thursday: ______ Friday: ______
*Special Requests_______________________________________________________________
Please make out all checks to: STATEN ISLAND BASEBALL ALLIANCE
Mail checks to: Dennis Modafferi – 123 Kelvin Ave. Staten Island, NY 10306
* Please note that Special Requests must be submitted on this form PRIOR to the Schedules being made.
