Online Registration Form

Registration is not accepted until all fees are received and the registration form is submitted. Prior to completing this form you must use the Online Tournament Payment process.

Tournament Registration Form

Club Name

Team Name

State

Fall 2010 Age Group

Boys or Girls Team

Requested Division (Final placement determined by Tournament Director )

Jersey Color

Alternate Jersey Color

Coach Information

Name

Address

City/State/Zip

Home Phone

Cell Phone

Work Phone

Email Address

Contact Information

Use same information for the Contact Informaiton as the Coach above

Name

Address

City/State/Zip

Home Phone Number

Cell Phone Number

Work Phone Number

Email Address

Comments / Requests

Coaches who coach more than one team need to make sure they have an assistant available at the tournament as we will not be able to accommodate every request for no conflicts. Omaha area teams may have games scheduled for Friday evening. It is unreasonable to request no early morning Saturday games.

LEAGUE INFORMATION AND RESULTS

FALL 2010 Season

League

Division

Won

Lost

Tied

SPRING 2010 Season

League

Division

Won

Lost

Tied

PRIOR TOURNAMENT RESULTS

TOURNAMENT 1

DATE (M/Y)

DIVISION

WON

LOST

TIED

TOURNAMENT 2

DATE (M/Y)

DIVISION

WON

LOST

TIED


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