SASA Governor's Cup Registration Form
September 12-14 , 2008
Team Information
Team Name:
Age Group:   U -
Gender: (Boys/Girls)
Skill Level: (1 thru 10 ... 1=Lowest, 10=Highest)
Uniform Color:
Alternate Color:
Club Affiliation:
Club Website:
City: State: Zip Code:
Team Contact Information
Name:
Email:
Phone:   (Day)  (Night)  (Cell)
Address:  Street:

 City: State: Zip:
Head Coach Information
Name:
Email:
Phone:   (Day)  (Night)  (Cell)
Address:  Street:

 City: State: Zip:
Assistant Coach Information
Name:
Email:
Phone:   (Day)  (Night)  (Cell)
Address:  Street:

 City: State: Zip:
Last Season's Team Results
League:   Won:   Lost:   Tied:
Tournament:   Won:   Lost:   Tied:
How did you hear about Tourney
Special Request - Please include Details of Major Tourneys


ALL FIELDS (except Special Requests, Asst. Coach Info) ARE REQUIRED
 
..:: Fees ::..
Early Bird Registration Deadline August 15, 2008
U12 & Below $350 + $50 parking fee* :: U13 & Up $400
+ $50 parking fee*

Deadline Sept 4, 2008
U12 & Below $400 
+ $50 parking fee* :: U13 & Up $450 + $50 parking fee*

* $50 team parking charge in lieu of admission fees


..:: Please make check payable to ::..
SASA Governor's Cup
P.O. Box 904
Springfield, IL 62705
EMAIL : governorscup@sasasoccer.org
SASA Hotline (217) 585-1776