Putnam Athletic League
PUTNAM ATHLETIC LEAGUE
POP WARNER SCHOLASTIC BANQUET
REGISTRATION FORM
FEBRUARY 25, 2012

Congratulations on being selected as a Pop Warner Scholar-Athlete. This year's banquet will be held at the Hilton University of Florida Conference Center Gainesville 1714 SW 34th Street, Gainesville, Florida.

After submission - please SUBMIT A CURRENT PHOTO, PREFERABLY IN FOOTBALL OR SPIRIT UNIFORM. PLEASE INDICATE THE SCHOLAR'S NAME. Instructions will be provided in the email confirmation.

Registration begins at 5 p.m. Dinner is served at 6 p.m.

Cost
$30 per person,
$20 for Children 6 and younger.
Scholar-Athlete NO CHARGE

SCHOLAR'S NAME:
ASSOCIATION:
2011 DIVISION:
FOOTBALL OR CHEER
CURRENT SCHOOL:
CURRENT GRADE LEVEL:
FAVORITE SCHOOL SUBJECT:
FAVORITE ACTIVITY:
(Other than Pop Warner)
POSITION PLAYED:
(Football Only)
HOME PHONE w/Area Code
CELL PHONE w/Area Code
EMAIL:
  CONFIRMATION WILL BE SENT VIA EMAIL
Name on PayPal transaction:
Scholar Athlete Tickets: (Complimentary Meal Tickets)

I have proof read the information that I'm submitting. I understand that my advertisement will not be printed, if full payment is not made.

 

Putnam Athletic League  |  www.putnamathleticleague.com   |   15406 NW 202nd Street, Alachua, FL 32615