Beach 5 Sand Soccer Series

Beach 5 Sand Soccer Series Register

Cost is $350.00 per team.
Registration deadline is 5/20/09.

Please enter a separate application for each individual team.
When entering multiple teams please make sure team names are differentiated.

Please mail payment, waivers & roster forms to:

Beach 5 Sand Soccer Series
PO BOX 32105
RALEIGH , NC 27622-2105

Please note:

Right reserved to combine age groups with similar levels.
Youth groups based on USYSA Age Groups for that seasonal year.

TEAM INFORMATION:

*Event:
*Team Name:
*Club/Organization Affiliation (N/A if none):
*Team Contact First Name:
*Team Contact Last Name:
*E-mail Address:
*Mailing Address:
*City:
*State:
*Zip Code:
*Home Phone:
Work Phone:
Fax Number:
Second Contact First Name:
Second Contact Last Name:
Second Contact E-mail:
*Age Group/Division:
Hotel Team is Staying at:
Specify Other Hotel:

Please review all information entered for accuracy and completeness, then click on the appropriate button below to continue the registration process.

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