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HEAD COACH INFO

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• Address 1:
• Address 2:
• City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• ZIP Code:
• * Cell Phone:
• * T-Shirt Size (Head Coach) --Choose-- S M L XL XXL XXXL

• Promo Code

  Enter Code: Apply

• Fee

  Type	Fee
  (1) Team Entry Fee	$325.00
  (2) Teams Entry Fee	$600.00
  (3) Teams Entry Fee	$915.00
  (4) Teams Entry Fee	$1,200.00
  (5) Teams entry Fee	$1,455.00

ASSISTANT COACH

• First Name:
• Last name:
• Cell Phone:

Team Info

• * TEAM / ORGANIZATION NAME:
• *

  GENDER ( May select both if have multiple teams participating ):

  • Boys
  • Girls
• * SKILL LEVEL: --Choose-- Elite ( National Level Comp. ) A ( Regional Level Comp. ) B ( Competitive ) C ( Development/Rec )
• *

  TEAM AGE GROUP ( May select more than one if multiple teams participating ):

  • 9U
  • 10U
  • 11U
  • 12U
  • 13U
  • 14U
  • 15U
  • 16U
  • 17/18U
• * If multiple teams are participating please list additional team info below: ( Gender, Skill level, Age Group ). IF only one team is participating please enter N/A
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Player Information

You may add a maximum of 15