Application for the 33rd Annual

HMMS Memorial Day Shootout

Soccer Tournament
May 23 & 24, 2015

 

Team Name:

Age Group:
Based on August 1, 2014 date of birth. Select from drop down box.

Team's record for last season.

New Team and no record?
select YES.

Wins

Losses

Ties

Current level of soccer you are playing at in your league.
Division 1, 2, or 3/ Division 1 being most competitive.

My team is willing to play in the next higher age group if necessary.

Soccer Club Name:

Soccer League Affiliation:

State Soccer Association:

Team Contact Name:

Street Address:

City:

State:

Postal Code:

Cell Phone
Emergency Contact #:
format: (999)999-9999

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E-mail address: