Chesapeake Cup Soccer Tournament
April 3, 2010
Individual Team Electronic Application Form
Deadline: Mar 6, 2010
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 2009 League:
Fall 2009 Age Group / Division:
Fall 2009 Standing:
Spring 2009 League:
Spring 2009 Age Group / Division:
Spring 2009 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 $350.00 (U-9, U-10 & U-11 teams or U-12 teams playing 8v8) or
$375.00 (U-12 teams playing 11v11 and U-13 thru U-19 teams) payable to "Chesapeake Cup"
must follow this electronic form within 8 calendar days and
before the Mar 6, 2010 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 19, 2010
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