You are registering for 20th Annual Chesapeake Cup

Registration Form created by Jeff Privett

Note/Comment icon Tournament Date: April 4, 2015
Application Deadline: March 13, 2015
Tournament Fee: $450.00 ($25.00 per team discount for any club sending 5 teams)
Mail check made payable to the "Chesapeake Cup" to the following address:
Chesapeake Cup
c/o Jeff Privett
18 Nahide Drive
Elkton, MD 21921
410-920-8032
jprivett21@comcast.net
www.cecilsoccer.org

Name of Team*
Age Group U-*
Level of Play A or B*
Name of Club*
League*
State Association*
Team Colors Jersey
Team Colors Shorts
Alternate Team Colors
League Played in Fall 2014
Age Group/Division Played in Fall 2014
Final Standing of League Play Fall 2014
League Played in Spring 2014
Age Group/Division Played Spring 2014
Final Standing of League Play Spring 2014
Name of Tournament Played in including the Season/Year
Age Group & Division including your Standing of Tournament Played in
Name of Tournament Played in Season/Year
Age Group/Division & Standing of Tournament Played in
Coach Name*
Coach Address*
Coach Home & Cell Phone Numbers*
Coach Email Address*
Please re-enter the Coach Email Address*
Send me a confirmation email (recommended)
Manager or Team Contact Name*
Manager or Team Contact Name Address*
Manager/Team Contact Home & Cell Phone Numbers*
Manager or Team Contact Email Address*
Please re-enter the Manager or Team Contact Email Address*
Coach / Manager Signature*
Date*
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