Name of Team: 

NSA Team Division: MEN'S     NSA Classification:
                                                                                                        Class: B/C/D/E

NSA Sanction #:   State Director:  

City Team is From-City:     ST:      

   CHECK WHERE Qualified:    NIT   /    STATE  /   REGIONAL   /  WORLD  /  Point Leader    

    DATE Qualified:          LOCATION of Tournament:

Manager  Name:

Managers Mailing Address:

          City:     ST: Zip:

Daytime Phone: ()  Evening Phone: ()

Fax: ()    E-mail:

     Event Team is Entering:  NSA SUPER WORLD SERIES         
Location of Tournament:     Date of Trny:

Hotel:     # Rooms Booked:
My signature as manager indicates that I am entering the above tournament as a representative of my team.  I understand the Tournament
MAY BEGIN ON FRIDAY, and that MY TEAM MAY BE REQUIRED TO PLAY ON FRIDAY.  There are NO entry refunds after the entry deadline. 
The NSA Rule Book contains full refund policy, available online 24/7 www.playnsa.com   Entry in to any NSA tournament constitutes
acknowledgement and agreement to the refund policy and all rules and bylaws of NSA.
Manager’s Signature: ________________________________________ Date: ______________