Your Full Name
Business/Affiliation
Business Address
Business City	Hamden North Haven New Haven Wallingford Meriden Bethany Woodbridge Branford North Branford East Haven West Haven Other                Zip
Day Phone Number
Evening Phone Number
E-mail Address

 

Sponsor Name (As it Should Appear on the Uniforms   and our Web Site)
* Player's Name (Optional) If you would like to sponsor a specific player's  team,  please enter his or her name	5 6 7 8 9 10 11 12 13 14   Player's Age
*Coach's Name (Optional) If you would like to sponsor a specific Coach's  team,  please enter his or her name

Would you or your business like to be listed on our Web Site?  Yes      No

If Yes,

How would you like your business listed,  or Do you have a Brief Slogan?
What Phone Number do you want    Listed on our Web Site?
If you already have a Web Page, tell us    what it is, and we will place a link to it.