2010 CDPHP SHAMROCK CUP – 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
MOST CURRENT YEAR’S LEAGUE RECORD: WON ____ LOST ____
TIE ____
PLEASE RETURN THIS FORM WITH ENTRY FEE.
MAKE CHECKS PAYABLE TO:
MAIL TO:
2010
WUSC/
C/o Doug LaPerche
11 Ronnie Lane