HOLIDAY TOURNAMENT BLAST
At NERRC 7501 Oakleigh Road, Baltimore, MD 21234
410-887-5374
Tournament Director Gianni Tumminello 443-559-0710
Registration Fee: $350*
Includes ref fees and 12 FREE tickets to the Blast game on January 20
DEC 22: Girls U10, U11, U12 & U13
DEC 23: Boys U8, U9, U12, U13
DEC 27: Girls U8, U9, U14, U15
DEC 28: Boys U10, U11, U14, U15
Money Order or Check Payable to Baltimore Blast or call for credit card payment
Application Deadline: December 19th
********Please Print Clearly********
TEAM NAME:___________________________GENDER/AGE GROUP:___________
MANAGER/COACH’S NAME:_____________________________________________
HOME ADDRESS:_______________________________________________________
CITY:__________________ STATE:_____ ZIP:___________
UNIFORM COLORS:_________________________
CELL:_________________ HOME:_________________ WORK:_________________
E-MAIL ADDRESS:_____________________________________________________
Send to: Justin Bittner, Baltimore Blast, 7006 Golden Ring Road, Baltimore, MD, 21237
Circle What Applies To Your Team
Boys Girls
Type of Team: Club Rec
Rate Team: A B C
Special Requests/Comments_______________________________________________
________________________________________________________________________
Please Note: When you are registering for our tournament, you are agreeing to play the games
as scheduled. We will try to accommodate a team’s requests for, times, etc., but we offer no
guarantees. Once the schedule is printed, changes will not be made, even if your requests were
not accommodated.
For Office Use Only
REC. #_______________ Check #_______________ Amount:_______Date:________
