2014 Saysa Cup Team Registration Form

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2014 SAYSA CUP: 4V4 TOURNAMENT

Team Registration Form

SAYSA CUP
4 v 4

TOURNAMENT

2014

Team Name: ___________________________________Club Afliation_______________________________


Primary Contact: _________________________________Cell Number: (______) _______________________
Secondary Contact:_______________________________ Cell Number: (______) _______________________
Primary Email: ________________________________ Secondary Email:______________________________
Address: __________________________________________________________________________________
City: _______________________________________ State: _______________ Zip: _____________________
Age Division (circle one): U6

U8

U10

U12

U14

Open Division (15-Adult)

Recreational : Advanced (A) / Novice (B) / Beginner (C)


Team Experience (circle one): Never Played
Classic: Advanced (A) / Novice (B) / Beginner (C)
Premier:
Select
Travel
State
TOTAL # OF TEAM PLAYERS* _________ YEARS PLAYED TOGETHER ________
*IF YOU HAVE LESS THAN SIX (6) PLAYERS AND
ARE WILLING TO HAVE A PLAYER ADDED CHECK HERE:

List Names of Players: A Medical/Liability Waiver form for each player must be completed. A Birth Certicate
(copy), current player card, or current school report card will be required for each listed player for proof of
age group.
1) Player Name: ________________________________ Birth Date: ____/____/______T-Shirt Size: ________
2) Player Name: ________________________________ Birth Date: ____/____/______T-Shirt Size: ________
3) Player Name: ________________________________ Birth Date: ____/____/______T-Shirt Size: ________
4) Player Name: ________________________________ Birth Date: ____/____/______T-Shirt Size: ________
5) Player Name: ________________________________ Birth Date: ____/____/______T-Shirt Size: ________
6) Player Name: ________________________________ Birth Date: ____/____/______T-Shirt Size: ________
Registration fee is $90.00 before April 24th or $110.00 if received after. Registration Deadline is May 10th
(Checks can be made out to: SAYSA) Registration Cap 70 Teams!
Form of Payment: Check _____ Cash _____
Email Registration to: 2014saysacup@gmail.com
(Payment must be sent to below address for registration to be complete)
Mail Payments and Registration to:

2014 SAYSA CUP


2364 Jackson Street #163
Stoughton, WI 53589-5404

Signature: ______________________________________________ Date: _____________________

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