TEAM NAME: _______________________________________________________________________
CLUB NAME_________________________________________STATE
ASSOCIATION__________
TEAM CODE: ___________________/________________/_________________/__________________
District Club Code Team # League
(Example: B1 / ACS / 461 / KVL)
HEAD COACH TEAM CONTACT PERSON
NAME: ________________________________
NAME: _____________________________________
ADDRESS: ____________________________
ADDRESS: _________________________________
___________________________Zip________ _________________________________Zip_______
Phone (H)____________________________
Phone (H)______________________________
(C)____________________________ (C)____________________________
Email _______________________________ Email__________________________________
TEAM RECORD DURING 2005/2006
SEASON:
LEAGUE PLAY DIVISION_______________________________WON____LOST____TIE____
REGIONAL CUP PARTICIPANT? YES NO RESULTS_________
STATE CUP PARTICIPANT? YES NO RESULTS_________
HOW LONG HAS THIS TEAM
PLAYED TOGETHER? __________________________
PLEASE LIST TOURNAMENTS
ATTENDED DURING THE 2005/2006 SEASON:
__________________________________________________________W____T____L____Place_____
__________________________________________________________W____T____L____Place_____
__________________________________________________________W____T____L____Place_____
LEVEL OF PLAY FOR THIS
TOURNAMENT _____PREMIERE ____COMPETITIVE (only if available)
AGE GROUP: (Please circle
your team’s age group for the 2006/2007 season!)
ENCLOSE ENTRY FEE (U9-U10
= $350; U11/U12= $400; U13+ = $450).
PLEASE ADD $25 IF REGISTERING AFTER
SEPT 20th DEADLINE.
MAKE CHECK PAYABLE TO:
RETURN APPLICATION TO:
C/O PLAYER SPORTS MARKETING
P.O. BOX 953187
LAKE MARY, FL 32795
PH # 407/320-1891
FAX #407/320-0902