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Fantastic Fuzzball Frolic

Indoor Soccer Tournament

Murfreesboro, TN

February 8-10, 2002

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                                                       Tournament Application

Team Name:___________________________________ Division: U_______ B / G ___

Club Organization Name:__________________________________________________

State Association:________________________________________________________

Coach:_____________________________ Phone: (H) __________________________

Address: ___________________________ (W) __________________________

City: ____________State: __ Zip:_______ Fax: ___________ E-Mail:____________

Team Shirt Colors: Primary:_________________ Alternate: __________________

                                                          Team Roster

          Last Name            First Name        DOB Jersey #        Player Pass ID#

___________________ _______________ ____ __________ _________________

___________________ _______________ ____ __________ _________________

___________________ _______________ ____ __________ _________________

___________________ _______________ ____ __________ _________________

___________________ _______________ ____ __________ _________________

___________________ _______________ ____ __________ _________________

___________________ _______________ ____ __________ _________________

___________________ _______________ ____ __________ _________________

___________________ _______________ ____ __________ _________________

___________________ _______________ ____ __________ _________________

Comments or Requests: __________________________________________________

_______________________________________________________________________

_______________________________________________________________________

I UNDERSTAND THAT IF THE TEAM IS NOT ACCEPTED, THE ENTRY FEE WILL BE REFUNDED IN TOTAL. I FURTHER UNDERSTAND THAT ONCE A TEAM IS ACCEPTED AND LATER WITHDRAWS FOR ANY REASON INCLUDING ADVERSE WEATHER CONDITIONS, THE ENTRY FEE IS FORFEITED UNLESS THE TOURNAMENT IS CANCELLED

 

Coach’s Signature: _____________________________________ Date: ____________

 

For questions or comments, please contact 

Tom Perry

1802 Bridget Drive

Murfreesboro, TN 37129 

(615) 867-7643 

EMAIL TomPerry@PVH.com

For Official use only:

Paid chk#_________ Player Pass__________ Medical Releases ___________ Travel Permits_____________

 

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