Midwest Coin Concepts - Join a Pool League

Midwest Coin Concepts
224 33rd Ave S, Waite Park, Minnesota 56387
320-251-2627

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Join a Pool League

Complete the form below and join a league online! If you have any questions there is also a section for comments and questions!

Select which POOL league you are interested in joining: (if more than one, complete a separate roster for each one)

Select desired league:

Location you will play at:

Team name:

Please complete the information below for each player on your team:

NOTE: Please type in *complete* addresses for each player (email address is optional). Thank you!

CAPTAIN (First & Last Name):

Captain Address:

Captain City:

Captain Zip:

Captain Home Phone:

Captain Work Phone:

Captain Email Address:

PLAYER 1 (First & Last Name):

Player One Address:

Player One City:

Player One Zip:

Player One Home Phone:

Player One Work Phone:

Player One Email Address:

PLAYER 2 (First & Last Name):

Player Two Address:

Player Two City:

Player Two Zip:

Player Two Home Phone:

Player Two Work Phone:

Player Two Email Addresses:

PLAYER 3 (First & Last Name):

Player Three Address:

Player Three City:

Player Three Zip:

Player Three Home Phone:

Player Three Work Phone:

Player Three Email Address:

PLAYER 4 (First & Last Name):

Player Four Address:

Player Four City:

Player Four Zip:

Player Four Home Phone:

Player Four Work Phone:

Player Four Email Address:

PLAYER 5 (First & Last Name):

Player Five Address:

Player Five City:

Player Five Zip:

Player Five Home Phone:

Player Five Work Phone:

Player Five Email Address:

PLAYER 6 (First & Last Name):

Player Six Address:

Player Six City:

Player Six Zip:

Player Six Home Phone:

Player Six Work Phone:

Player Six Email Address:

PLAYER 7 (First & Last Name):

Player 7 Address:

Player 7 City:

Player 7 Zip:

Player 7 Home Phone:

Player 7 Work Phone:

Player 7 Email Address:

PLAYER 8 (First & Last Name):

Player 8 Address:

Player 8 City:

Player 8 Zip:

Player 8 Home Phone:

Player 8 Work Phone:

Player 8 Email Address:

PLAYER 9 (First & Last Name):

Player 9 Address:

Player 9 City:

Player 9 Zip:

Player 9 Home Phone:

Player 9 Work Phone:

Player 9 Email Address:

PLAYER 10 (First & Last Name):

Player 10 Address:

Player 10 City:

Player 10 Zip:

Player 10 Home Phone:

Player 10 Work Phone:

Player 10 Email Address:

Additional comments or questio

Thank You!