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Registration Form
Connecticut Coast Soccer Classic
2011 Tournament Application

Registration confirmation will occur by email only.  Accepted teams will be notified by 7/10/11.  Checks must be made out to the "Waterford Soccer Club.  The fee for U10 Teams is $350.00 and for U11-U14 Teams it is $400.00. Checks must be mailed to Connecticut Coast Soccer Classic, 15 Leary Drive, Waterford, CT 06385 and received no later than 7/1/11.  Please contact Tournament Director, Rob Brule, at 860-884-0230 or rob@conncoastsoccer.com with any questions.
Team Name:
Gender:  Male     Female
Age of Team: U10     U11     U12     U13     U14
Level of Play: Town / Club / Classic     Premier Team
Team Information:                 
Home Jersey Color:
Alternate Jersey Color:
City/Town:  
State:
Special Team
Accomplishments
2011 Spring Season Record:
Contact Information:
Team Representative:  Manager     Coach
Address:
Home Phone:
Cell Phone::  
Email::  
Confirm Email::  
Comments:
Team Representative Signature:  
Date:  

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