School Registration

Name of school ____________________________________ Customer# ______________

Address ___________________________________ City __________________________

Zip Code__________ School Phone # ________________ e-mail ___________________

Contact Person ____________________________ Home Phone ____________________

Number of persons attending:

Students Female _______

Students Male _______

Sponsors Male _______

Sponsors Female _______

Guest Female _______

Guest Male _______

Will your school be playing Basketball? ________

Will your school be playing Volleyball? ________

If your school is playing Basketball or Volleyball there is a $30.00 athletic fee per team for each event to cover referees. This needs to be mailed in with the $50.00 school registration fee along with this form. Please mail this so I will receive it no later than the 1^st of October. Make all checks payable to Southern Plains Jr. Convention.

Ross Lortie

2216 Clover Park Drive

Arlinton, TX 76013

Thank you for your support of Junior Convention.

Convention Staff