You are registering for 20th Annual Chesapeake Cup

Registration Form created by Jeff Privett

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
[email protected]
www.cecilsoccer.org

Name of Team *

Age Group U- *

Level of Play A or B *

Name of Club *

Boys or Girls *

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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