APPLICATION FORM FOR MERCED ATLAS CUP - 2011
Boys – September 3rd & 4th
Girls - September 10th & 11th
Please fill out one application form for each team applying

TEAM/CLUB NAME:*
DISTRICT ASSOCIATION:*

AGE DIVISION (Check only one)*

Boys BoysU8 BoysU9 BoysU10 BoysU11 BoysU12 BoysU13 BoysU14 BoysU15 BoysU16 BoysU17 BoysU18 Girls Girls U8 Girls U9 Girls U10 Girls U11 Girls U12 Girls U13 Girls U14 Girls U15 Girls U16 Girls U17 Girls U18

The following person will be forwarded tourament schedule & information

Contact Name:*
Address:*
City:* Postal Code*
Phone:* Fax:*
Email:*
TEAM INFORMATION
Team's Name:*
Coach:*
Phone:*
Team Colour:*
Please ensure your team has alternate colour jerseys

U8 to U10 $400.00  8 vs. 8
U11 to U18 $575.00 11 vs. 11

Entry Fee per team payable to:
MERCED SOCCER ACADEMY

Please print this form for your records or to register by mail

Mail to: MERCED ATLAS CUP - TOURNAMENT
1033 W. MAIN STREET
Merced, CA 95340

Click on the SUBMIT button to register online

Questions? Email to mercedatlas@yahoo.com