Make all checks payable to: "Methacton Wolverines"
Mail to: Methacton Wolverines Banquet Committee
Attn: Nancy LeBlanc
1017 Rivers Edge Drive
Collegeville, PA 19426
Number Attending: #_________ Total
Rostered Players/Cheerleaders: X $10.00 = __________
Adults: X $20.00 = __________
  Children: X $10.00 = __________
TOTAL ENCLOSED: ___________
Child 1: Name: _______________________Team/Squad: ____________________# attending: ______
Child 2: Name: _______________________Team/Squad: ____________________# attending: ______
Child 3: Name: _______________________Team/Squad: ____________________# attending: ______
Child 1: Name: _____________________Team/Squad:____________________ X $5 = _________
Child 2: Name: _____________________Team/Squad:____________________ X $5 = _________
Child 3: Name: _____________________Team/Squad:____________________ X $5 = _________