LONG ISLAND DART ASSOCIATION INC.

TEAM APPLICATION FORM
FILL OUT THIS FORM COMPLETELY

TEAMS SHALL CONSIST OF FIVE PLAYERS MINIMUM TO A MAXIMUM OF NINE PLAYERS. ALL NAMES ON THIS APPLICATION WILL BE PERMANENT MEMBERS. PRIOR APPROVAL BY THE EXECUTIVE BOARD IS REQUIRED FOR ANY ROSTER CHANGES.

PLEASE INDICATE THE SEX OF EACH PLAYER SO THAT AWARDS MAY BE CREDITED PROPERLY. FULL FIRST AND LAST NAMES OF ALL PLAYERS IS REQUIRED.

PERMANENT TEAM ROSTER - FALL 2008

F   M

CAPTAIN'S OR TEAM SECRETARY'S
PHONE #:
(MANDATORY)

CHECK BOX BELOW IF YOU WANT YOUR PHONE NUMBER TO BE KEPT CONFIDENTIAL

THIS FORM PREPARED BY:

Signature

Date

F   M

F   M

F   M

F   M

F   M

F   M

F   M

F   M

PRIOR LEAGUE APPROVAL REQUIRED FOR ANY ROSTER CHANGES.

CHECK ONE:          MONDAY NIGHT [ ]           TUESDAY NIGHT [ ]

APPLICATION IS TO BE ACCOMPANIED BY A CHECK FOR $150 MADE OUT TO THE LONG ISLAND DART ASSOCIATION. THE LEAGUE WILL BE ORGANIZED INTO DIVISIONS ON A FIRST COME, FIRST SERVED BASIS. IF THE LAST APPLICATIONS ARE NOT ENOUGH TO MAKE UP A DIVISION, MONEY WILL BE REFUNDED

SPONSOR AND TEAM MAILING INFORMATION

ESTABLISHMENT

CAPTAIN OR TEAM SECRETARY:

DID THIS TEAM OR ANY PLAYERS PLAY LAST SEASON IN THE L.I.D.A.?    YES     NO

IF SO, IN WHAT DIVISION? IN WHAT PLACE DID THEY FINISH?

OTHER INFORMATION (OTHER LEAGUE EXPERIENCE IF NEW TO LIDA, COMMENTS, ETC.)

DIVISION: