Chesapeake Cup Soccer Tournament
April 7, 2012
Individual Team Electronic Application Form
Deadline: Mar 7, 2012
Special Note for AOL Users: This form is not compatible will all versions of AOL.
Please confirm that your application was received correctly at 410-920-8032.

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Name of Team:     Age Group U-

If U-12 please select requested team size:

Level of Play:

Name of Club:     Boys Girls

League:     State Association:

Team Colors:
    Jersey:     Shorts:     Alternate:

Please provide us with a recent team history:
League Play
Fall 2011 League:
Fall 2011 Age Group / Division:
Fall 2011 Standing:
Spring 2011 League:
Spring 2011 Age Group / Division:
Spring 2011 Standing:

Tournament Play
Season #1:
Season #1's League:
Season #1's Age Group / Division:
Season #1's Standing:
Season #2:
Season #2's League:
Season #2's Age Group / Division:
Season #2's Standing:

Coach:
Name:
Address:
 
Phone (H):
Phone (W):
e-mail:
Manager:
Name:
Address:
 
Phone (H):
Phone (W):
e-mail:

Your check for the full amount of $400.00 (U-9 & U-10 teams) or
$425.00 (U-11 thru U-16 teams) payable to "Chesapeake Cup"
must follow this electronic form within 8 calendar days and
before the Mar 7, 2012 deadline to:

Chesapeake Cup
c/o Jeff Privett
18 Nahide Drive
Elkton, Maryland 21921

Thanks for sending your application!

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Form Last Updated: Jan 9, 2012
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