ACE'S CUP TEAM Registration Form 2015
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Transcript of ACE'S CUP TEAM Registration Form 2015
Granby 3V3 Soccer Tournament
ACES CUP: 4V4 TOURNAMENT May 23, 2015 Team Registration Form
Team Name: ____________________________________Club Affiliation_________________________________________
Primary Contact: _________________________________Cell Number: (______) _________________________________
Secondary Contact: ______________________________ Cell Number: (______) _________________________________
Primary Email: __________________________________Secondary Email: ______________________________________
Address: _______________________________________City: ______________________ State: ______ Zip: ___________Age Division (circle one): U6 U8 U10 U12 U14 Open Division (15-17) Adult Division (18 and up) Team Experience (circle one): Never Played Recreational: Advanced (A) / Novice (B) / Beginner (C) Classic: Advanced (A) / Novice (B) / Beginner (C) Premier: Select Travel State TOTAL # OF TEAM PLAYERS* _________ YEARS PLAYED TOGETHER ________*IF YOU HAVE LESS THAN SIX (6) PLAYERS ANDARE WILLING TO HAVE A PLAYER ADDED CHECK HERE:List Names of Players: A Medical/Liability Waiver form for each player must be completed. A Birth Certificate (copy), current player cards or current school report card will be required for each listed player for proof of age group.1) Player Name: _____________________________________________ Birth Date: ____/____/______T-Shirt Size: _______2) Player Name: _____________________________________________ Birth Date: ____/____/______T-Shirt Size: _______3) Player Name: _____________________________________________ Birth Date: ____/____/______T-Shirt Size: _______4) Player Name: _____________________________________________ Birth Date: ____/____/______T-Shirt Size: _______5) Player Name: _____________________________________________ Birth Date: ____/____/______T-Shirt Size: _______6) Player Name: _____________________________________________ Birth Date: ____/____/______T-Shirt Size: _______Registration fee is $90.00 before April 17th or $110.00 if received after. Registration Deadline is May 1st ~ No Exceptions ~ Rain Date: Sunday, May 24th, 2015 ~ NO REFUNDS.
(Checks can be made out to: ACE Soccer Club)
Form of Payment: Check _____ Cash _____Email Registration to: [email protected] (Payment must be sent to address for registration to be complete)Mail Registration and/or Payments to: ACES CUP 2364 Jackson Street, PMB226 Stoughton, WI. 53589-5404 Signature: ______________________________________________ Date: _____________________ (Registration will not be completed until payment is received and must be received by May 1st. Signing this document acknowledges: Registration Deadline is May 1st No Exceptions ~ Rain Date: Sunday, May 24th, 2015 ~ NO REFUNDS.)