California USA Women's 2002 Petition Form

Name: ______________________________ Weight Class: ________ Grade: __________

Address: ____________________________ City: _________________ Zip: ________

Phone: (_____)_______________________     E-Mail: _____________________________

Coach: ______________________________

Address: ____________________________ City: ________________ Zip: ________

Phone: ______________________________     School: _______________________

Results

Any other major tournament placings? _________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Any head to head wins that you deem important _________________________________

________________________________________________________________________

All petitions will be evaluated and ranked according to information listed above by the coaches on staff.

Mail to:

Greg Chappel
1568 Windsor Way
Brentwood, CA 94513