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Registration

Off the Wall Sports is proud to host the 6th Annual

 


August 7-8, 2010

Team Name:  _______________________________________

Home City, State: ____________________________________

 

WOMEN’S OPEN (7 v 7): ________   

 

WOMEN’S Over 30 (7 v 7):  “A” Division _________   “B” Division __________

 

MEN’S Over 30 (6 v 6):        “A” Division _________     “B” Division __________

 

CO-ED OPEN (7 v 7) _______   

 

Must be at least 18 to play Open.  Must be 30 years old by December 31, 2010 for Over 30. No player may double roster in the Over 30 men’s or women’s divisions.

 

Team Manager: _______________________________

Phone: (____) ___________________

Address: ______________________________________

Email:  _______________________________________

City: _________________________________________

Alt Phone: (____) _________________

State/Zip: __________________________________________

 

Tournament format:

Games are two 18-minute halves. Guaranteed 4 games. The turf is Fieldturf® and the facility has air conditioning. No spikes. Shinguards are recommended. Teams should bring two sets of jerseys, home teams will change if there is a color conflict (at the referee’s discretion).

 

Fees:

100% of fees will be donated to the fight against Breast Cancer- IU Cancer Center.

Team entry fee is $400, maximum 15 players. Final roster is due the first day of the tournament. ID may be required. Any breast cancer survivor playing on a team will have their fee waived ($40 per survivor). Please provide us with the name of the survivor below.

 

Survivors playing on our team:  __________________________________________________________

 

Return Entry Form and payment by July 31, 2010 to:                                   
                                  
                                  Kick for the Cure
                                  C/O  Brenda Foglio
                                  5860 Guilford Ave.
                                  Indianapolis, IN 46220

 

Team Roster

 

Name                                                      Email Address                             DOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 
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