2017 Western Region
Knothole Home Game Scheduling Request & League Fees
By 3/1/2017 please send a Check or a Money Order for League Fees payable to “Knothole Baseball
West” in the amount of $25 per team to: Gene Drozd – 8382 Country Oaks Station – West Chester,
OH 45069
By 3/1/2107 please complete below for each team and return to Gene Drozd. US Mail, Scan & Email or Send e-mail w/Info to: [email protected] No text please!
Community /Organization Name: _____________________________
Contact Name: _________________________
E-Mail: __________________________________________
Mobile Phone #: _________________ Mobile Phone Carrier: (ie Verizon - Sprint etc) __________________
Head Coach Information ---
Age Group Division: ________
If D Senior (D2/9u) - Please select one requested League Category
_____ World Series Eligible OR _____ Regional Tournament Eligible
Name: ___________________________
E-Mail: _____________________________________________
Mobile Phone #: _________________ Mobile Phone Carrier: (ie Verizon - Sprint etc) __________________
Weekday Game Slot
Home Field Name/ #: _______________________________________
Home Field Street Address: __________________________________________________________
Day of Week: ___________________
Weekend Game Slot
Weekday Evening Start Time: ________________
Home Field Name/ #: ________________________________________
Home Field Street Address: __________________________________________________________
Weekend Day: __________________
Weekend Start Time: _______________________
Special Scheduling Requests: (ie School events, organization wide event(s) etc)
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