ENTRY FORM TO QUICK SAND CUP 3

Tournament Directors

Shari Murto ------	Phone/Fax: (830) 438-6702
Email address: shari@alamorevolution.com

Olivier Pheulpin ---	Phone: (210) 862-3609
Email address: olivier@alamorevolution.com

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)