14th Annual

Orange and Blue Fall Cup Tournament

October 1-3, 2004

Tournament Application

                                    

(Please print or type) Applications due by September 1st , 2004

 

Team name: _______________________________________

 

Boys ages: (please circle)                                                            Girls ages: (please circle)

                                                           

U9, U10, U11, U12, U13, U14                                             U10,U11,U12,U13 U14,U15,             

                                                                                                U16, U17, U18,U19                 

                                                                                                       

Association/Club: _______________________________________________________________

 

League: _______________________________________________________________________

 

Team Coach: __________________________ phone: (w.)_____________(h.)_______________

Team Manager:_________________________phone: (w.)_____________(h.)_______________                                                   

Address: ______________________________________________________________________

City/State/Zip: __________________________________________________________________

 

E-mail : _________________________________   Fax: ________________________________

 

 

 

League record Spring 2004: wins__________  loses___________ ties__________

 

 

Tournament record Spring 2004: wins__________  loses___________ ties__________

 

Tournament/divison_________________________w_______l_______t_________

                                                          

Tournament/divison________________________w_______l_______t__________

 

Tournament/divison__________________________w_______l_______t_________

 

Teams will be chosen according to level of competition as determined by league and tournament record.

 

 Scheduling and/or seating requests: Request must be made on this application (requests are not guaranteed, although, every effort will be made to honor request)

 

___________________________________________________________________________________

 

2004 Tournament Fee: U9-U11 $400.00,U12-U19 $450.00 (please make checks payable to LISC)

 

Send completed applications and fee to:

LISC Fall Cup Tournament

P.O. Box 3871

Champaign, IL. 61826-3871

 

Acceptance notification will be posted on the web@www.liscsoccer.com by Sept. 15th , 2004. No refunds will be made after a team is accepted. Teams not accepted will receive notification and refund.

(No schedule changes will be made after excepted teams are posted on the web.)