Mid-America Cup Online Application
Sponsored by Sporting Futbol Club
April 30 - May 1, 2005

Cost - $375 U8-U10, $400 U11-U14, $425 U15 & Older

Note:  Fields marked with an (*) are required to be completed.

Team Information

Team Name*
(This is the name that will be published on the web site and in the tournament program)

Club Name*

Age Division and Gender*

                 Boys         Girls

Team City/State*

          

Team Web Site

http:// Enter "n/a" if no site

Club Web Site

http://  Enter "n/a" if no site

Affiliation*

State        US Club Member     Yes      No  

Coach's Name*

   (First Name and Last Name)                           

Primary Uniform Colors*

Jersey       Shorts        

Alternate Uniform Colors*

Jersey       Shorts 

Contact Information

*Contact is 
 

First Name*

Last Name*

Address*

City*

State/Zip Code*

    Zip Code  

Home Phone*

  (Include area codes for all phone numbers)

Work Phone

Wireless Phone

E-Mail (Required to process application)*


(Email address should be reliable and accurate as all contact will be through email.  If this information changes please inform the Sporting FC office as soon as possible))
 

Will the coach of this team coach another team in the tournament?

Yes   No If you answered Yes, please indicate which team(s) in the comments section below.

Team Playing Record
(Please provide as much information as you can so that your level of play can be better assessed)

Most Recent Tournaments
(Tournament/City/State)

Date

Record
(W-L-T)

Result

1.  Division   
    Played Up?  

--

2.   Division   
      Played Up?  

--
3.   Division   
      Played Up?  

--
Fall 2004 League     
     Division            

     Played Up?  

# of Teams

 


--

 
Place
Spring 2004 League    
     Division                

     Played Up?  

# of Teams


 

--
 
Place
State Cup Tournament
                         State Result                      Regional Result       
2003/04                  
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   National Result
   
2002/03                   Электрические бойлеры    

COMMENTS - Will you be coaching more than one team?  If so please provide age group(s) below.  Also provide any information which will help in the evaluation and placement of your team.  Any special scheduling requests must be included in the space below.  We will attempt to honor scheduling requests, but there are no guarantees. cash loan payday

Please review this information for completeness.  Once you are sure the information is correct, press the Register button to complete the application. You will get a confirmation page listing the information you submitted. Please print 2 copies of this page, one for your records, and another to include with your check for payment. 

Applications may only be accepted after receiving payment.
Make checks payable to "Sporting FC"
Submit payment by March 31, 2005 to:
Jim Sinclair, Sporting FC, PO Box 294,
Mossville, IL   61552
ONLY TEAMS WITH PAYMENT RECEIVED PRIOR TO MARCH 31, 2005 MAY BE ACCEPTED INTO THE TOURNAMENT  
 

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