ENTRY FORM TO QUICK SAND CUP 3

Tournament Directors

Shari Murto -------------
Phone/Fax: (830) 438-6702

Olivier Pheulpin --------
Phone: (210) 862-3609

Alamo Revolution
2714 Summit View, San Antonio, Texas 78261

TOURNAMENT DATE:
February 13, 2010
ENTRY FEE:
U10 - U13: $220.

U14 - U18: $250.
DEADLINE TO ENTER:
February 7, 2010


Name of team:
________________________________________________________________________

Primary jersey color:
_____________________________________
Alternate:
____________________


PLEASE CIRCLE APPROPRIATE TYPES
U10
U11
U12
U13
U14
U15
HS Girls
HS Boys

City where team is from:
________________________________________________________________

Name of league team is from:
____________________________________________________________

Tournaments entered last 12 months and standings:
__________________________________________
_____________________________________________________________________________________

PERSON IN CHARGE OF RECEIVING AND DISTRIBUTING INFORMATION

NAME:
________________________
ADDRESS:
____________________________________________

CITY/STATE:
___________________________________________
ZIP:
_______________________

HOME PHONE:
( )_________________
WORK: ( )_________________
FAX:
( )_________________

EMAIL ADDRESS:
______________________________________________________________________

COACHES INFORMATION

NAME:
________________________
ADDRESS:
____________________________________________

CITY/STATE:
___________________________________________
ZIP:
_______________________

HOME PHONE:
( )_________________
WORK: ( )_________________
FAX:
( )_________________

EMAIL ADDRESS:
______________________________________________________________________


INITIAL ROSTER DUE BY FEBRUARY 7, 2010
(ANY ROSTER FORM ACCEPTED)