Print, fill out form and mail to:

Todd Crum
415 Sandpiper Drive
Grand Haven, MI 49417

Make checks payable to: Alex Crum Memorial Fund

Team name______________________________________________________________

Contact name and phone number_______________________________________

Address____________________________________________________________

Player #1 ______________________________________Shirt size:  S M L XL XXL

Player #2 ______________________________________Shirt size:  S M L XL XXL

Player #3 ______________________________________Shirt size:  S M L XL XXL

Player #4 ______________________________________Shirt size:  S M L XL XXL

Mail registration along with check for $260.00 per team ($65.00 per player)

Make checks payable to:

Alex Crum Memorial Fund

Space is limited