Fill out the following form (Please note, it is very important that you call our office after you register to insure that we still have the space available to get you into the tournament). The red fields are required. The individual registration fee is $35. You can also print out this form and mail it in with your registration fee.

Make checks payable to Make-A-Wish and send to LIVA. Thank you.

LIVA
4271 Oak Beach Rd
Oak Beach, NY 11702