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2003 WCSA Taco Bell Fall
Classic August 23rd & 24th, 2003 |
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Team Name: |
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Club Association: |
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State Association: |
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Primary Uniform Colors- Alternate- |
TEAM CONTACT(All mailings go to team
contact) |
CLASSIFICATIONDivision Birthday Circle Gender |
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Name: |
U-9 August 1, 1994 – July 31, 1995 Boy Girl |
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Home Phone: |
U-10 August 1, 1993 – July 31, 1994 Boy Girl |
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Work Phone: |
U-11 August 1, 1992 – July 31, 1993 Boy |
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Fax #: |
U-12 August 1, 1991 – July 31, 1992 Boy Girl |
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Street: |
U-13 August 1, 1990 – July 31, 1991 Boy |
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City: |
U-14 August 1, 1989 – July 31, 1990 Boy Girl |
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State & Zip: |
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Please list the Contact Information for any sanctioned
referees that are willing to work the tournament: Name:____________________________________Phone # (_____)_________________. Address_________________________________________________________________. Name:____________________________________Phone # (_____)_________________. Address_________________________________________________________________. Registration Deadline is
August 5th, 2003. Notification of
Acceptance will be mailed August 8th, 2003. Registration fee
of $275 (or $250 for U-9 & U-10) MUST accompany this
application. Your check should
be made payable to West Central Soccer Association. Fee will be
refunded if team is not accepted. No refunds after your team is accepted. PLEASE SUBMIT APPLICATION AND FEE TO: Parkersburg, West Virginia 26102 Tournament Director: Sam Minehart Home
(304) 428-5815 104 Crestwood Drive Work
(304) 275-3162 Parkersburg, WV 26104 Email
lknwv@earthlink.net
West Central Soccer Association
PO Box 926
