Soccer ClubThanksgiving Day Festival Application Deadline for Submission - OctoberAge Division (circle one) U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 Team Name________________________________________Club Name_____________________________________ Coach's Name______________________________________Phone Number__________________________________ Coach's Address____________________________________Fax Number____________________________________ City, State, Zip______________________________________E-mail (required!)________________________________ Manager's Name____________________________________Phone Number__________________________________ Manager's Address__________________________________Fax Number____________________________________ City, State, Zip______________________________________E-mail_________________________________________
LEAGUE INFORMATIONLeague Name (SJSL, MOSA, EPYSA, etc.)___________________________________________________________________________________ Division (Olympic, Premier, National, North American, etc.)___________________State Association________________________
TOURNAMENT INFORMATION
OTHER INFORMATION- Provide any other information that could be helpful in placing your team.___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________
TOURNAMENT ROSTERALL APPLICATIONS MUST include a state-certified roster! If you know your guest player(s), add them now. You will be able to make additions and deletions at registration. Your application will not be approved unless a roster is included. Add player uniform numbers. Team Shirt Color______________________ Shorts______________________ Alternate ______________________ Please Include: [ ] Completed Application [ ] Team Roster [ ] Registration Fee - $395.00 (U11-U18) - $295 (U9-U10) ENCLOSED: [ ] APPLICATION AND $100.00 NON-REFUNDABLE DEPOSIT [ ] APPLICATION AND CHECK FOR FULL AMOUNT Please make checks payable to Please mail to: Winslow 2001.Cris Vaccaro.PO Box 112. Somerdale, NJ 08083 Email: cris@vaccarosoccer.com
Date Received____________________ Check #____________________ Amount____________________ |