WUSC 25th Annual
CLUB & TEAM INFORMATION
CLUB NAME:
_____________________________________________________
TEAM NAME: ________________________PRIMARY COLOR:______________
AGE GROUP: BOYS GIRLS
________U09 BOYS
______ U9 Girls
________ U10 BOYS
______ U10 GIRLS
________
U11 BOYS ______ U11 GIRLS
________ U12 BOYS ______ U12 GIRLS
________ U13 BOYS ______ U13 GIRLS
________ U14
BOYS ______ U14 GIRLS
________ HS BOYS ______ HS GIRLS
TEAM COACH: __________________________________PHONE(H):____________________________
ADDRESS: ______________________________________
PHONE(C):_____________________________
CITY,
ASSISTANT: ______ _______________________________PHONE
(H): ___________________________
ADDRESS:_______________________________________PHONE (C):
____________________________
CITY,
LEAGUE AFFILIATION:
______________________________________________________
LEVEL OF PLAY (DIV 1, 2, “A” TEAM, ETC.) _____________________________________
DOES YOUR TEAM PLAY IN A SELECT or ALL STAR LEAGUE? YES NO
DOES YOUR TEAM PLAY IN A PREMIER LEAGUE?
YES NO
WUSC
RESERVES THE RIGHT TO HAVE PREMIER, SELECT AND/OR ACADEMY TEAMS TO PLAY UP.
MOST CURRENT YEAR’S LEAGUE RECORD: WON ____ LOST ____
TIE ____
PLEASE RETURN THIS FORM WITH ENTRY FEE.
MAKE CHECKS PAYABLE TO:
For schedules & information,
please check tournament web site a t www.wusc.org