First Annual North Mississippi Magnolia Invitational

Name of Squad(s):_________________________________

                               _________________________________

Division:_________________________

Number of Members:________

Sponsor/Coach Name:_________________________

Contact Number:_____________________________

Address:___________________________________

               ___________________________________

               ___________________________________

E-Mail:____________________________________

Fax Number (if applicable):_____________________

Amount Enclosed:__________________________

Mail to: Our Gym, Inc.

                ATTN: Magnolia Invitational

                8802 Old Craft Road

                Olive Branch, Mississippi 38654