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Melbourne Area, Florida, USA
Do NOT hit the ENTER key ! Use the TAB key to move around. When you are finished, select SUBMIT at the bottom of the form,
TEAM APPLICATION
* information that must be filled out online
What is the Age Division of your team? (GIRLS TEAMS ONLY)
* choose age group under 09 under 10 under 11 under 12 under 13 under 14 under 15 under 16 under 17 under 18 under 19
* Team Name
Team Code example B5-PLM-401-BYS (do not type dashes)
Club Affiliation
State Association
Please provide the following COACH information:
* Coach FIRST name * Coach LAST name E-mail Street Address City State/Province Zip/Postal Code Work Phone Home Phone
* Coach FIRST name
E-mail
Street Address
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
Please provide the following ASSISTANT COACH information:
Assistant First Name Assistant Last Name E-mail Street Address City State/Province Zip/Postal Code Work Phone Home Phone
Assistant First Name
Assistant Last Name
Please provide the following CONTACT information:
This person will receive all communication - and must have an email address
* Contact First Name * Contact Last Name * E-mail * Street Address * City * State/Province * Zip/Postal Code Work Phone * Home Phone Cell Phone
* Contact First Name
* Contact Last Name
* E-mail
* Street Address
* City
* State/Province
* Zip/Postal Code
* Home Phone
Cell Phone
Uniform COLORS: primary jersey alternate jersey
HOTEL Name arrival date departure date
* According to the list below, enter the best estimate of your team's NUMERICAL RATING:
100. Best in the World 95. Possible in the Top 10 in the USA 90. Possibly in the Top 10 in your State 80. Very strong Competitive Team with good credentials 70. Capable Competitive Team 60. Developing and Improving Competitive Team 50. New, Inexperienced Competitive Team 40. Inexperienced Comp Team very little success against others 30. Very strong Travel Rec team with Comp level guest players 20. Strong Rec. Team (no tryouts, no recruiting) 10. Average Rec Team (no tryouts, no recruiting) 0. Expecting the beaches/tourist attractions to be highlight 30.
Comments: Please provide any additional information to help us evaluate your Team's strength (ex: state or regional cup team, tournament record, etc.)
* LEVEL choose one Choose Level State Cup Regional Cup Recreational Other
* NO YES I will be responsible for staying current on tournament information by checking email and visiting the web site regularly.
Please only click on Submit Form ONCE - it will take a few seconds.