THE MOTHER OF MOUNTS IS PROUD TO PRESENT THE
2017 EPHRATA INVITATIONAL
WIFFLE® BALL TOURNAMENT
BENEFITING 4 PAWS FOR ABILITY
February 24, 2017 @ 5PM & February 25, 2017@ 8AM
Ephrata Middle School Gymnasium
www.mountshardball.com
TEAM ENTRANCE FEES:
SENIOR, JUNIOR & ROOKIE CIRCUITS: $100
FUTURES CIRCUIT: FREE
DAIRY QUEEN DINGER DERBY: $5 PER 10 SWINGS
ADMISSION FEES:
ADULTS: $2
K-12 STUDENTS: $1
ALL OTHER CHILDREN: FREE

$25 FROM EACH TEAM’S ENTRANCE FEE WILL BE DONATED TO 4 PAWS FOR ABILITY
(4 PAWS FOR ABILITY PROVIDES SERVICE DOGS TO CHILDREN)
WANT TO DONATE MORE? AWARDS WILL BE GIVEN FOR THE TOP FUNDRAISING TEAM IN EACH CIRCUIT
 AWARDS WILL BE GIVEN FOR THE BEST TEAM UNIFORM IN EACH DIVISION
 DOUBLE ELIMINATION TOURNAMENT

TEAM REGISTRATION FORM
DISCLAIMER: THE TOURNAMENT RULES COMMITTEE RESERVES THE RIGHT TO REVISE, EDIT, OR DENY ANY TEAM NAME BASED ON INAPPROPRIATE LANGUAGE,
REFERENCES, AND/OR INNUENDO . . . IF YOU’RE NOT SURE IT WILL BE APPROVED . . . DON’T USE IT!
CHOOSE YOUR CIRCUIT: (PLEASE NOTE: A PLAYER CAN BE DUAL-ROSTERED ON FAST BALL & LOB BALL TEAMS)
SENIOR CIRCUIT (GRADES 9-12)
FAST BALL DIVISION
LOB BALL DIVISION (CO-ED — MUST HAVE AT LEAST 3 GIRLS)
JUNIOR DIVISION (GRADES 6-8)
FAST BALL DIVISION
LOB BALL DIVISION (CO-ED — MUST HAVE AT LEAST 3 GIRLS)
ROOKIE CIRCUIT (GRADES 5 & UNDER) (FAST BALL ONLY)
FUTURES CIRCUIT (AGES 5-6) (TEE BALL)
TEAM NAME:
PLAYER’S NAME
GRADE PHONE NUMBER
PARENT/GUARDIAN SIGNATURE*
1)
TEAM CAPTAIN
2)
3)
4)
5)
6)
7)
SEVEN PLAYERS ARE REQUIRED ONLY FOR THE ROOKIE CIRCUIT. FOR ALL OTHER CIRCUITS, THE SEVENTH PLAYER IS A RESERVE PLAYER IN THE EVENT A
PLAYER IS MISSING.
PLEASE MAKE CHECKS PAYABLE TO: EPHRATA BASEBALL ASSOCIATION
REGISTRATION FORMS AND ENTRY FEES SHOULD BE SUBMITTED AS FOLLOWS:
SENIOR CIRCUIT— DELIVER TO MRS. CUMMINGS @ EHS OR U.S. POSTAL SYSTEM
JUNIOR CIRCUIT— DELIVER TO MR. MARTIN @ EMS OR U.S. POSTAL SYSTEM
ROOKIE & FUTURES CIRCUIT — U.S. POSTAL SYSTEM
IF SENDING VIA U.S. POSTAL SYSTEM, PLEASE MAIL TO:
MOTHERS OF MOUNTS
P.O. BOX 314
EPHRATA, PA 17522
REGISTRATION DEADLINE: SATURDAY, FEBRUARY 18, 2017 AT MIDNIGHT
*Parent/Guardian Signature of Release: I the undersigned hereby release the Ephrata Baseball Association and the Mothers of Mounts, its volunteers and staff, and the Ephrata Area
School District from the responsibility for injuries incurred from any accident during the Wiffle Ball Tournament.