Club/Team Name *

Age Category U19 - born on/after August 1, 1991
U17 - born on/after August 1, 1993
U16 - born on/after August 1, 1994
U15 - born on/after August 1, 1995
U14 - born on/after August 1, 1996
*

What is the birthdate of your oldest player? *

Coach's Name *

Address *

City *

State *

Zip Code *

Primary Phone *

Email *

Manager Name *

Address *

City *

State *

Zip Code *

Primary Phone *

Email *

To whom should we direct correspondence to regarding the tournament? Coach Manager Both *

What is/was your league record in the most recently completed outdoor league for your team (include league level and name)? If you are currently playing in a league please list your record so far for this league as well as league level and name. If your team played, or is playing, in multiple leagues (state, Elite Clubs National League, etc.) please include record for all leagues. *

What was your record in 2009-2010 State Cup Competition and how far did you advance? If you haven’t played in State Cup yet, please include results from most recent State Cup competition. *

What was your record in 2009 or 2010 Regional Competition and how far did you advance (if applicable)?

What was your record in 2009 or 2010 National Competition and how far did you advance (if applicable)?

Please list any tournaments or other significant competition your team participated in for the 2009-2010 seasons and results. Include any significant game results here and include national ranking of team if ranked by any organization (GotSoccer.com, NationalSoccerRanking.com, etc.).