u al

2
nd Ann nt
n a me
r
l To u
Kic
k ba l
Te a m
Re g i s t r at i o n
Saturday, June 4th
12pm – 6pm
*Team Sign-In at 11:30am
LaSalle Park

Registration is $10.00 a player per team, with ten players minimum.

The ten dollars will include a tournament at LaSalle Park with two food tickets, water, and one beer ticket!
Don’t forget to wear your organization’s colors!

Team Representative:______________________________________________________________________

Organization:____________________________________________________________________________

Address:__________________________________________________ City:__________________________
2010 Reigning
Champions:
The Good
Email:_______________________________________Phone #:___________________________________
Neighborhood
Number of participants:____________ Think you’ve got what it takes to be
the 2011 Champions?

Payment
Registration forms with full payment enclosed must be received at Heart of the City Neighborhoods by May 27, 2011.
Mail your completed registration form and payment to:

Heart of the City Neighborhoods, Inc.

Attn: Jennifer Yuhnke
42 Plymouth Ave
Buffalo, NY 14201

Checks money orders and PayPal accepted ONLY.

Checks and money orders should be made payable to Heart of the City Neighborhoods Inc.
If paying with PayPal, please mail registration forms only, and payment to donation@hocn.org Heart of the City Neighborhoods, Inc.
42 Plymouth Avenue • Buffalo, NY 14201
Tel: (716) 882-7661 •Fax: (716) 882-7662

Total Enclosed: $______________________

Payment Types Enclosed: Check Money Order