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Lakeland, Florida, USA
May 13/14, 2006
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
* indicates fields which must be filled out
* What is the Age Division of your team? choose age group under 08 under 09 under 10 under 11 under 12 under 13 under 14 under 15 under 16 under 17 under 18 under 19
* Boys or Girls Team? Choose Boys or Girls BOYS/Coed GIRLS
* 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 Country Home Phone Work Phone Cell Phone
*Coach FIRST name
E-mail
Street Address
City
State/Province
Zip/Postal Code
Country
Home Phone
Work Phone
Cell Phone
Please provide the following ASSISTANT COACH information:
Assistant FIRST name Assistant LAST name E-mail Street Address City State/Province Zip/Postal Code Country Home Phone Work Phone
Assistant FIRST name
Please provide the following CONTACT information:
This person will receive ALL communication - and must have an email & postal address!
*Contact FIRST name *Contact LAST name *E-mail *Street Address *City *State/Province *Zip/Postal Code Country *Home Phone Work Phone Cell Phone
*Contact FIRST name
*E-mail
*Street Address
*City
*State/Province
*Zip/Postal Code
*Home Phone
Uniform colors: primary jersey alternate jersey
Hotel Name arrival date departure date
According to the list below, choose the best estimate of your team's numerical rating:
100. Best in the World 95. Possibly 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
Please provide any additional information including team history for the past 2 years.
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.
When you click on "Submit Form" below, your application will be submitted,
and then on the next page you can begin the credit card payment section.
These are 2 separate processes.
ONLY CLICK on SUBMIT ONCE it might take a few seconds