Entry Form

Deadline for receiving Entry Form and Payment is:

Friday, January 20, 2012.

Please complete this Entry Form and click on submit

If payment is received by Friday, January 6, 2012, the registration fee is $425 U.S. funds; after that date, the registration fee is $450 U.S. funds.

Please make your cashier's check or money order in U.S. funds payable to: Palm Springs AIDS Assistance Program  and mail it to:

Winter Classic

ATTN: Vicki Oltean

401 S. Pavilion Way

Palm Springs, CA 92262

You may also charge your entry fee to your Visa, MasterCard or American Express.  Please click here to obtain / print a credit card charge form.

ENTRY FORM Team Name: Team Sponsor: Team's Website address: Team Coach/Manager: Manager's Email: Manager's Mailing Address: Manager's Phone Number: Best Time to Call: Fax Number: Alternate Team Contact: Phone Number: Best Time to Call: Division Entered: