OLD DOMINION CUP
DECEMBER 5 & 6, 2009
TOUNAMENT APPLICATION
DEADLINE NOVEMBER 9, 2009
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TOURNAMENT NAME:
OLD DOMINION CUP
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Team Name:
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Select Gender of Team:
Boy
Girl
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Select Age Group:
U10-PLAYING 7V7
U11-PLAYING 8V8
U12 PLAYING 8V8
U13
U14
U15
U16
U17
U18
U19
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State Association:
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League:
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Division of Play Desire
PREMIER--HIGHEST ONE
CLASSIC--LOWEST ONE
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TEAM TYPE
CLUB TEAM
CLUB TEAM WITH GUESTS
LEAGUE SELECT
STATE SELECT
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Name of Coach
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Coaches E-mail
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Coaches Cell Phone
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Team Manager
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Team Managers E-Mail
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Team Managers Cell Phone
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Is Coach coaching another team in this tournament
Yes
NO
If Yes--Name/Age and Gender of Team
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Street Address:
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City
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State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
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
Washington DC
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Zp Code
Recent Team Information
Beginning with your most recently played Tournament, provide the following information
:
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TOURNAMENT NAME
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Date of Tournament
Win
Loss
Tie
GF
GA
Standing
TOURNAMENT NAME
Date of Tournament
Win
Loss
Tie
GF
GA
Standing
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Recent League Record
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Season
Spring
Fall
Win
Loss
Tie
GF
GA
Standing
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PLEASE REVIEW THE FOLLOWING
ENTRY FEES: I understand that if my team is not accepted, the entry fee will be refunded in full. I further understand that once my team is accepted (acceptance letters have been mailed) the entire entry fee is forfeited and also that no refund will be made in the event of cancellation or shortening of any matches due to inclement weather or a condition beyond the tournaments control. Tournament committee reserves the right to place your team in the division it deems appropriate. Faxed applications received without fees will not be processed. Any special requests please make in writing and attach to application. Special requests will be considered but not necessarily guaranteed.
WAIVER OF LIABILITY: We the undersigned representative of this participating team, to induce the tournament committee to accept this team registration and permit this team's participation in the tournament applied for, do agree to release, indemnify and to hold harmless ODSC officials,SETSM, schools, districts, sponsors, coaches, referees, and/or representatives from any claim arising out of injury to named participants on this team, and we certify that each player registered is covered by an approved medical insurance plan as required for youth soccer. Further, we recognize and acknowledge that adverse weather is an act of God and we will accept all decisions regarding playability of facilities (and therefore, potentially, the outcome of competition) by the tournament as final without objection, appeal or compensation.
LODGING - To ensure your team quality accommodations, S & E Tournament and Sports Management, will serve as the official Hospitality Service for the tournament. All teams must book any hotel reservations through SETSM to ensure their place in the tournament. Any teams that do not comply will be at risk of forfeiting their acceptance. To book hotels call 1-757-489-9447 OR or E-mail her at setsm1@cox.net
Make Checks Payable To:
OLD DOMINION SOCCER CLUB
MAIL TO:
OLD DOMINION SOCCER CLUB
C/O S & E TOURNAMENT AND SPORTS MANAGEMENT
7316 COLONY POINT ROAD
NORFOLK, VA 23505
NOTE: If overnighting and next day air please do not require a signature
THE FOLLOWING SHOULD BE INCLUDED
Completed Application
Copy of State Approved Roster
Check for $525.00 U10-U-12
Check for $575.00 U13-U19
Additional Comments
Please email me updates
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Indicates Response Required