EPIPHANY SPORTS ASSOCIATION
INSTRUCTIONAL T-BALL LEAGUE
APPLICATION
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School Name:____________________________________________________________
Grade (circle one) Pre-K K 1st 2nd
Gender (circle one) Boys Girls Coed
(# of each) ____ ____
Coach's Name:________________________________________________________
Street Address:________________________________________________________
City:_____________________ State:_____ Zip:_________________
Phone Numbers:
Home:_______________________
Work:_______________________
Cell:_________________________
Email address:__________________________________________________________
Sports Assoc Pres.______________________________________________________
Street Address:_________________________________________________________
City:_______________________ State:_____ Zip:_________________
Phone Numbers:
Home:_________________________
Work:_________________________
Cell:___________________________
Email address:____________________________________________________________
**Please list any potential conflict dates: (School Picnics, First Communion, Any School Graduations)**
_________________________________________________________________________________
Checks payable to: Epiphany Sports Association - The League Fee is $50.00 per team.
Mail to: Jamie Will
5425 Columbia
St.Louis, Mo. 63139