ACE'S CUP TEAM Registration Form 2015

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ACE’S 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) : U U! U"# U"$ U"% &pen 'i ision (" *"+) Adult 'i ision ("! and up) Team Experience (circle one): Ne er Played ,ecreational: Ad anced (A) - No ice (.) - .e/inner (C) Classic:Ad anced (A) - No ice (.) - .e/inner (C) Premier: Select Tra el State TOTAL # OF TEAM PLAYERS !!!!!!!!! YEARS PLAYED TO"ET ER !!!!!!!! $F YO% A&E LESS T A' S$ ( ) PLAYERS A'D ARE *$LL$'" TO A&E A PLAYER ADDED + E+, ERE: Lis- 'ames o. Pla/ers : A 0edical-1iability 2ai er form for eac3 player must be completed4 A .irt3 Certificate (c cards or current sc3ool report card 6ill be re7uired for eac3 listed player for proof of a/e /roup4 ") Player Name: _____________________________________________ .irt3 'ate: ____-____-______T*S3irt Si8e: $) Player Name: _____________________________________________ .irt3 'ate: ____-____-______T*S3irt Si8e: 9) Player Name: _____________________________________________ .irt3 'ate: ____-____-______T*S3irt Si8e: %) Player Name: _____________________________________________ .irt3 'ate: ____-____-______T*S3irt Si8e: ) Player Name: _____________________________________________ .irt3 'ate: ____-____-______T*S3irt Si8e: ) Player Name: _____________________________________________ .irt3 'ate: ____-____-______T*S3irt Si8e: Regis-ra-ion .ee is 012322 4e.ore April 56 -7 or 0552322 i. receive8 a.-er3 Registration Deadline is May 1 st ~ No Exceptions ~ Rain Date: Sunday, May 24 th , 201 ~ N! RE"#NDS$ ( %hec&s can 'e (ade out to: )%E Soccer %lu' ) orm of Payment: C3ec; _____Cas3 _____ Email ,e/istration to: acescup% %tournament</mail4com ( Payment must be sent to address for registration to be complet 0ail ,e/istration and-or Payments to: ACE=S CUP $9% >ac;son Street5 P0.$$ Stou/3ton5 2?4 9 !@* %#% Si/nature: ______________________________________________ 'ate: _____________________ *Registration +ill not 'e co(pleted until pay(ent is recei ed and (ust 'e recei ed 'y May 1 st $ Signing this docu(ent ac&no+ledges: Registration Deadline is May 1 st - No Exceptions ~ Rain Date: Sunday, May 24 th , 201 ~ N! RE"#NDS$.

description

This document is the registration form to sign up a team up for the 2015 ACE'S CUP.

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.)