TEAM APPLICATION

3RD DUNEDIN STIRLING MEMORIAL DAY TOURNAMENT

MAY 29, 30 & 31, 2004

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AGE GROUP - PLEASE CHECK ONE
U8  BOYS _____	U14 BOYS _____	U8  GIRLS _____	U14 GIRLS _____
U9  BOYS _____	U15 BOYS _____	U9  GIRLS _____	U15 GIRLS _____
U10 BOYS _____	U16 BOYS _____	U10 GIRLS _____	U16 GIRLS _____
U11 BOYS _____	U17 BOYS _____	U11 GIRLS _____	U17 GIRLS _____
U12 BOYS _____	U18 BOYS _____	U12 GIRLS _____	U18 GIRLS _____
U13 BOYS _____	U19 BOYS _____	U13 GIRLS _____	U19 GIRLS _____

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DIVISION:	COMPETITIVE  1ST DIV ___  2ND DIV ___  DEVELOPMENTAL ___
	RECREATIONAL ___
TEAM NAME:	_______________________________________________________
TEAM CODE:	_______________________________________________________
	District-Club-Team-League;   Example: C2-DUN-501-USA

Club Affiliation:	_______________________________________________________
State Association:	_______________________________________________________

TEAM COLORS:
Jersey:	________________________________	Jersey:	________________________________
Shorts:	________________________________	Shorts:	________________________________
Socks:	________________________________	Socks:	________________________________

Head Coach:		Schedule notice to be e-mailed or faxed to:
Name:	_______________________________	Name:	_______________________________
Address:	_______________________________	Address:	_______________________________
________________________________________		________________________________________

Home phone:	____________________________	Home phone:	____________________________
Cell phone:	____________________________	Cell phone:	____________________________
Fax:	____________________________	Fax:	____________________________
E-mail:	____________________________	E-mail:	____________________________
(Please print neatly)

Current or most recent team record:	W ______ L _______ T _______
Number of years team core together:	_______
Division Team Participates In:	_________________________

Previous tournaments records (if applicable):
Name	Year	Record/Place

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Mail Application to: DSSC Tournament Director - 2431 Treemont Way Dunedin, Florida 34698 Please include with your application the appropriate tournament fee, payable to DSSC; add a $45 late fee to your tournament fee if postmarked after May 9, 2004.

My team meets all the eligibility requirements of this tournament, and I have read and understood the tournament rules posted at www.dunedinstirling.com which includes a no refund policy once the application is received. This Tournament allows up to SIX players!

Coach’s Signature: ____________________________________________ Date: _______________