Midwest Coin Concepts
224 33rd Ave S, Waite Park, Minnesota 56387
320-251-2627
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Join a Pool League

 

Complete the form below and join a league online!  If you have any questions there is also a section for comments and questions!
Select which POOL league you are interested in joining: (if more than one, complete a separate roster for each one)
Select desired league:
Location you will play at:
Team name:

Please complete the information below for each player on your team: NOTE: Please type in *complete* addresses for each player (email address is optional). Thank you!

CAPTAIN (First & Last Name):
Captain Address:
Captain City:
Captain Zip:
Captain Cell Phone:
Captain Work Phone:
Captain Email Address:

PLAYER 1 (First & Last Name):
Player One Address:
Player One City:
Player One Zip:
Player One Cell Phone:
Player One Work Phone:
Player One Email Address:

PLAYER 2 (First & Last Name):
Player Two Address:
Player Two City:
Player Two Zip:
Player Two Cell Phone:
Player Two Work Phone:
Player Two Email Addresses:

PLAYER 3 (First & Last Name):
Player Three Address:
Player Three City:
Player Three Zip:
Player Three Cell Phone:
Player Three Work Phone:
Player Three Email Address:

PLAYER 4 (First & Last Name):
Player Four Address:
Player Four City:
Player Four Zip:
Player Four Cell Phone:
Player Four Work Phone:
Player Four Email Address:

PLAYER 5 (First & Last Name):
Player Five Address:
Player Five City:
Player Five Zip:
Player Five Cell Phone:
Player Five Work Phone:
Player Five Email Address:

PLAYER 6 (First & Last Name):
Player Six Address:
Player Six City:
Player Six Zip:
Player Six Home Phone:
Player Six Work Phone:
Player Six Email Address:

PLAYER 7 (First & Last Name):
Player 7 Address:
Player 7 City:
Player 7 Zip:
Player 7 Home Phone:
Player 7 Work Phone:
Player 7 Email Address:

PLAYER 8 (First & Last Name):
Player 8 Address:
Player 8 City:
Player 8 Zip:
Player 8 Home Phone:
Player 8 Work Phone:
Player 8 Email Address:

PLAYER 9 (First & Last Name):
Player 9 Address:
Player 9 City:
Player 9 Zip:
Player 9 Home Phone:
Player 9 Work Phone:
Player 9 Email Address:

PLAYER 10 (First & Last Name):
Player 10 Address:
Player 10 City:
Player 10 Zip:
Player 10 Home Phone:
Player 10 Work Phone:
Player 10 Email Address:

Additional comments or questions
Please enter the letters that appear in this image





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