Spring 2012 Roster

Deadline for entry is Saturday, January 14, 2012
All fees are due at time of registration
You may pay online after submitting your roster

Team Name*: 
Please keep team names to 20 characters or less.
The Board reserves the right to not accept inappropriate team names.
Choose carefully - team names will not be changed after the schedules are printed.

Sponsoring Establishment Information
Sponsor Name*:  Phone Number: 
Address:  City:  Zip: 
Owner/Dart Coordinator agrees to sponsor this team: Yes No
New Sponsor?      Approved by RMDA? Date inspected and approved by RMDA

Team Member Information
Captain Name*:  RMDA #*:  or New Male:  Female 
Address*:  Apt #:  City*:  Zip*: 
Primary Phone*:  Secondary Phone:  Fee Due: 
Email Address*:  Check here if you cannot receive information via email.
(This is where standings and other info will be sent)

Co-Captain Name*:  RMDA #*:  or New Male:  Female 
Address*:  Apt #:  City*:  Zip*: 
Primary Phone:  Secondary Phone:  Fee Due: 
Email Address: Include in weekly mailing?  Yes   No

Player 3 Name*:  RMDA #*:  or New Male:  Female 
Address*:  Apt #:  City*:  Zip*: 
Primary Phone:  Secondary Phone:  Fee Due: 
Email Address: Include in weekly mailing?  Yes   No

Player 4 Name*:  RMDA #*:  or New Male:  Female 
Address*:  Apt #:  City*:  Zip*: 
Primary Phone:  Secondary Phone:  Fee Due: 
Email Address: Include in weekly mailing?  Yes   No

Player 5 Name:  RMDA #  or New Male:  Female 
Address:  Apt #:  City  Zip: 
Primary Phone:  Secondary Phone:  Fee Due: 
Email Address: Include in weekly mailing?  Yes   No

Player 6 Name:  RMDA #:  or New Male:  Female 
Address:  Apt #:  City:  Zip: 
Primary Phone:  Secondary Phone:  Fee Due: 
Email Address: Include in weekly mailing?  Yes   No
*Required fields

A confirming email with other pertinant information will be sent within 48 hours to the address entered
into the Captain's email field.

If you do not receive the confirming email, Please email the Statistician to verify receipt of your roster.