* This is how you will be listed on the KASI Tee Shirts
U10 GIRLS U10 BOYS U12 GIRLS U16-19 COED
U12 BOYS U14 GIRLS U14 BOYS
Daytime Phone_____________________________________
Evening Phone_____________________________________
Address______________________________________________ ZIP________________
Email Address___________________________________________________
Alternate Contact Information:
Name__________________________________________________________
Phone_______________________________________________
Checks Payable to: AYSO REGION 211
Mail to: AYSO/KASI
6186 Ascot Ct.
Kalamazoo, MI 49009
Entry Fee must be submitted with entry form.