BACK                                                

To print an application and pay by mail instead, click here

 

  already applied?   click here to make payment only 

 

Beaches Labor Day Challenge

on the Barrier Islands from Melbourne Beach to Merritt Island, 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?  

  *  Boys or Girls Team?        

 * Team Name

Team Code   example B5SCU9798FC2

 

GotSoccer ID   6 or 7 digits

 

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

Phone

Cell Phone

Please provide the following ASSISTANT COACH (MANAGER)  information:

Assistant First Name

Assistant Last Name

E-mail

Street Address

City

State/Province

Zip/Postal Code

Phone

Cell Phone

Please provide the following CONTACT information:

This person will receive all communication - and must have an email address

* Contact First Name

   (someone other than a coach)

* Contact Last Name

* E-mail

* Street Address

* City

* State/Province

* Zip/Postal Code

Phone

* 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:

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

 

*    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.  


Author information goes here.
Copyright 1999 [OrganizationName]. All rights reserved.
Revised: July 12, 2014