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Application Form
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Application Form
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Western Lehigh Fall Festival # 16 - Columbus Day Weekend, 2010
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Saturday & Sunday, October 9 & 10 (with up to 6 guest players)
APPLICATION MUST BE FILLED OUT COMPLETELY
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| Club Name: ______________________ Team Name: ______________________ |
| Fall ‘09 Record (W-L-T) _________ circle Premier or A or B or Other______ |
| Spring ‘010 Record (W-L-T) _________ circle Premier or A or B or Other______ |
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Fall '10 League: _________________ Division: ________State Assoc.: _____
Female________ (U9 thru U19) Male________(U9 thru U15) Please Check one
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| Fall, 2010 Age Group: |
8 v 8 |
q U-9 |
q U-10 |
q U-11 __ U-12
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11 v 11 |
q U-12 |
q U-13 |
q U-14 |
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q U-15 |
q U-16 |
q U-17 |
q U-18/19 |
| Division Preference: q "A" q "B" q "C" (will be considered if sufficient interest) |
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q Premier (must play up an age)
No roster needed at this time ... We reserve the right to combine divisions
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Non-EPYSA teams, don’t forget to start your permission to travel.
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| FEES ... $550 (11 v 11 teams) ... $475 (8 v 8 teams) ... until Saturday, September 4, 2010 |
| $25 late fee if postmarked after August 29 - any team not accepted gets a full refund. |
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Checks are deposited immediately. Cleared checks only serve as verification of receipt of application. Acceptances/rejections are emailed
Applications are not valid until receipt of payment. The "official" application date is the payment postmark.
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Send Your Application with your check to:
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"Western Lehigh Fall Festival" ... Box # 51 ... Emmaus, PA ... 18049-0051
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A separate form is required for each team … please make copies for other coaches.
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I apply for entry into the Western Lehigh United Soccer Club Fall Festival # 15 Soccer Tournament. I understand that once accepted, the entry fee is non-refundable. I understand that my team is responsible for our own insurance. I acknowledge receipt of the tournament rules and agree to abide by them. I understand that failure to comply with the rules may result in my team's dismissal from the tournament without refund. I understand that I am liable for any expenses or penalties that result from using illegal players or improper paperwork at the tournament. In the event of an accident or injury while in transit to, transit from, or while participating in the tournament, the Western Lehigh United Soccer Club, its officers and the tournament committee members shall not be held liable.
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Coach/Manager Signature: ____________________________ Date: __________
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Print Coach's Name(for schedule)____________________________________________
Print Contact's Name__________________________(circle one) coach manager
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E-mail address (REQUIRED): ____________________________________________ PRINT CLEARLY PLEASE
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Address: __________________________________________________________
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Night Phone: (_____) _____-________ Day Phone: (_____) _____-________
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Special Scheduling Request: _____________________________________
Sorry, late starts due to driving cannot be accommodated
If there are SAT's, 17's &U19's, what is the earliest time you could start?_________
Coaches who coach more than one team-alternating games may not be possible.
**Special Requests may only be considered if made with the application**
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