New York State s3

New York State Empire Classic Playoffs and Championships

President Vice President Secretary Treasurer Lyle Malbouf Jim Misiaszek Pierre Davis Ray Raimondi [email protected] [email protected] [email protected] [email protected]

Cheer Coordinators Helen Rendos Debbie Palmer [email protected] [email protected]

Please include a copy of your team’s roster and any absentee form(s) with each registration form and send to the appropriate contact person listed below. Forms maybe e-mailed to the e-mail addresses listed below. Complete one form per team or squad.

Empire Football Registrations Empire Cheer Registrations Lyle Malbouf Debbie Palmer 8084 Lewis Point Road 8832 Oneida Valley Rd. Canastota, NY 13032 Canastota, NY 13032 [email protected] [email protected]

Checks for $150.00 should be made out to Empire State Classic

Conference/League Name: ______Team Association Name: ______Division of Play/Cheer: ❑ Mitey Mite ❑ Jr. Pee Wee ❑ Pee Wee ❑ Jr. Midget ❑ Midget Team Colors: ______

Please Check Appropriate Boxes: ❑ Football ❑ Cheerleading ❑ Dance

Cheerleading Novice Intermediate Advanced Large ❑ ❑ ❑ Small ❑ ❑ ❑

Cheer and Dance Only: Regional Participant (did you advance and participate in the NYS Qualifier)? ❑ Yes ❑ No

Football, Cheer and Dance:

Head Coach: ______Mailing Address: ______Home Phone: ______Cell Phone: ______E-Mail Address: ______

Cinch Bags will be distributed to each child participating in the Empires at the conclusion of their participation. Please provide the number of rostered participants (order cannot exceed the number of rostered players/cheerleaders). Quantity: ______2010 Cheer/Dance Saturday, November 6th Utica Memorial Auditorium, Oriskany Blvd., Utica, NY 2010 Football Saturday, November 27th RFA Stadium, 500 Turin St., Rome, NY 13440