Please print, complete, and mail this form to:
Lauren Powley
Whitewater Festival
5 Pine Tree Road
Mountaintop, PA 18707
Team Name: ___________________________________
(Below, circle your team’s registered division.)
High School Middle School Club Team
We prefer to compete in the following bracket: A______ B______ C______
(A = Strongest bracket; B = Middle bracket; C = Weakest bracket)
Please provide any additional information about the strength of your team that would help us in bracketing:
_________________________________________________________________________________
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Jersey Colors: Primary Color ________________ Alternate Color _________________
Coach’s Name: __________________________________________________________________
Address: _______________________________________________________________________
City: ________________________________________ State: ________ Zip: ________________
Phone (Home): __________________ (Work):__________________ (Cell):__________________
Coach’s email address (required): __________________________________________________
Please print clearly in the spaces above. Indicate if “0” is the numeral zero or the letter O; and if “l” is the numeral one or the lower case L.
Assistant Coach’s Name: _________________________________________________________
Address: ______________________________________________________________________
City: ________________________________________ State: _______ Zip: ________________
Phone (Home): _____________________________ (Work):_____________________________
Assistant Coach’s email address (required): ___________________________________________
Please print clearly in the spaces above. Indicate if “0” is the numeral zero or the letter O; and if “l” is the numeral one or the lower case L.
Please initial each of the following:
______ I hereby confirm that my team meets the requirements to participate in this tournament and will abide by the rules.
______ I understand that registration for the tournament takes place one hour prior to our first game, at the concession area nearest to the field designated for our first match, and that I must turn in my completed roster form at this time
Coach’s Signature: ____________________________________ Date: __________________
Regular Tournament Fee: $595.00
Minus $50 discount if rafting: - $_____
Minus $50 early bird discount: - $_____ (for applications received before July 1)
Total fee enclosed: $_______________ (Please make checks payable to Whitewater Festival)
$50 tournament discount applies if 15 or more participants (players, coaches and families/friends) take part in the optional whitewater rafting trip on the nearby Lehigh River. Rafting reservations can be made by calling Whitewater Challengers, one of our tournament sponsors, at 800-443-7238. Be sure to make your rafting reservations under the same name that appears on this tournament application form, to assure your eligibility for the tournament discount.
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Optional Rafting Package:
Please check the appropriate package and indicate how many will be rafting, if any.
Be sure to make your rafting and/or camping reservations directly with:
Whitewater Challengers
PO Box 8
White Haven, PA 18661
Phone: 800-443-7238
Whitewater Rafting Package (Minimum Age: 5)
Approximate Number: ________
Cost: $30.00*/Adult; $25.00*/Child (up to age 14)
*Plus 6% takes/fees and $2 per person insurance
Includes complimentary buffet brunch before your trip!
Whitewater Rafting 
