22nd Annual
Travel Teams
Spring 2010 Age Group:____________ Under_____________ Boys_____ Girls
Level of Play: Premier___________ A_____________ B________
Club Name:____________________________________________________________________
Team Name:___________________________________________________________________
Head Coach:___________________________________________________________________
Home Phone Number:____________________________________________________________
Work Phone Number: ____________________Cell Phone Number:________________________
Street Address:________________________________________________________________
City, State, Zip Code:___________________________________________________________
Email Address (mandatory):_______________________________________________________
State Association & League:______________________________________________________
Season |
Age
Group |
Conference |
Record
W-L-T |
Standing |
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Spring 2009 |
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Fall 2009 |
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Spring 2010 |
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Tournament
& Date |
Division |
Record
W-L-T |
Standing |
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Comments: ___________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
I hereby submit my team’s application and understand that,
once my
team has been accepted, no refunds will be given!
Coach Signature: _________________________________ Date: __________________
Club________________________________ Team___________________ B / G
U-________
Coach______________________________ Phone____________________________________
Jersey Colors_________________________ Alternate
_________________________________
Player’s Name
Jersey # Pass #
Birthdate
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18.
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oCheck
made payable to Vineland Soccer Association (11V11 = $400.00; 8V8 = $350.00)
oCopy of
oCompleted Tournament Application, including email
address
oCompleted Tournament Roster
c/o Patty Ruberti, 1761 Hubbard Lane, Vineland, NJ 08360