! PLAYER&1& Name! Address! City/State/Zip! !

! NHPSA&3v3&Tournament& Official&Roster&

PLAYER&2& Name! Address! City/State/Zip! !

PLAYER&3& Name! Address! City/State/Zip! !

PLAYER&4& Name! Address! City/State/Zip! !

Birthdate!MM!/!DD!/!YYY!!!!!male![!!!!]!female![!!!]! ! ! ! ! *Signature&& Player!or!Parent/Guardian!(if!player!is!under!18)! Birthdate!MM!/!DD!/!YYY!!!!!male![!!!!]!female![!!!]! ! ! ! ! *Signature&& Player!or!Parent/Guardian!(if!player!is!under!18)! Birthdate!MM!/!DD!/!YYY!!!!!male![!!!!]!female![!!!]! ! ! ! ! *Signature&& Player!or!Parent/Guardian!(if!player!is!under!18)! Birthdate!MM!/!DD!/!YYY!!!!!male![!!!!]!female![!!!]! ! ! ! ! *Signature&& Player!or!Parent/Guardian!(if!player!is!under!18)!

PLAYER&5& Name! Address! City/State/Zip! !

PLAYER&6& Name! Address! City/State/Zip! !

Birthdate!MM!/!DD!/!YYY!!!!!male![!!!!]!female![!!!]! ! ! ! ! *Signature&& Player!or!Parent/Guardian!(if!player!is!under!18)! Birthdate!MM!/!DD!/!YYY!!!!!male![!!!!]!female![!!!]! ! ! ! ! *Signature&& Player!or!Parent/Guardian!(if!player!is!under!18)!

! !

*By$signing$the$above,$I$acknowledge,$understand,$and$agree$to$the$NHPSA$3v3$ tournament$rules$and$waiver$form$found$on$the$NHPSA$website.$I$also$have$signed$the$ NHPSA$waiver$form$for$this$tournament.$I$agree$that$failure$to$do$any$and$all$of$the$ above$could$result$in$the$team$being$disqualified$from$the$tournament.$