National Softball Association

 

ILLINOIS NSA  OFFICIAL TEAM TRAVEL PERMIT

 

Any ILLINOIS NSA YOUTH TEAM that wishes to participate in NSA Tournaments outside the state of ILLINOIS needs to fill out this form, and submit it to the Illinois NSA State Director's Office no later than 30 DAYS prior to the tournament start date.
Please fill in this form, print off a copy, and mail it to:  Bob Biehl, Youth Director P.O. Box 3812 Champaign, IL 61826

 

DATE of Request:  _____________________________

 

MY TEAM WISHES TO PARTICIPATE IN THE FOLLOWING NSA TOURNAMENT:

 

Tournament Name: ___________________________________________________________________________

 

Tournament Date:  ____________________________________________________________________________ 

 

Tournament Location: _________________________________________________________________________ 

 

Tournament Director: __________________________________________________________________________ 

 

Please Select:   AGE                8u      10u       12u       14u       16u       18u       23u

 

CLASS            A         B

 

TEAM INFORMATION

 

NSA Team Sanction Number: ___________________________________________________________________

 

Team Name: _________________________________________________________________________________ 

 

Manager Name: ______________________________________________________________________________ 

 

Phone: (Day) ____________________  Phone: (Night) ____________________ Fax:  ______________________

 

Email:  ______________________________________________________________________________________

 

I acknowledge that my signature as team representative verifies that I will take an extra Copy of my Official NSA Online Roster, complete with all signatures AND an extra copy of my team's insurance CERTIFICATE to leave at the tournament site.  I understand that my team will not be allowed to participate without these documents.  I also understand that these copies will NOT be returned to me at any time.
 

Manager's Signature: _____________________________________________________ Date: _____/_____/_____

                      

 

Send copy to:    Bob Biehl                                                    Phone:     217-356-0244

Illinois NSA Fast-Pitch State Director          

P.O. Box 3812                                            Email:      softballbob1@att.net

Champaign, IL 61826

 

The Illinois NSA Fast-Pitch State Director will review this form.  The form will then be forwarded to the Tournament Director. After the Travel Permit is received in office, it will take no less than one week to reply. After one week, please feel free to contact us via email. Thank you!
 

STATE APPROVAL

 

Signature of NSA Director: ___________________________________________________ Date: _____/_____/_____

                      

NOT VALID WITHOUT NSA DIRECTOR’S SIGNATURE - DIRECTOR FORWARD TO STATE OFFICE

 

www.illinoisnsa.com