ACE’S CUP: 4V4 TOURNAMENT May 23, 2015 - Individual Registration Form

Player Name: _____________________________________Club Affiliation: ___________________________________________

Guardian Contact: _________________________________Cell Number: (______) ____________________________________

Email: __________________________________________

Address: ____________________________________City: _______________________ State: _________ Zip: ______________

***NOTE***Players that elect to sign up individually will be placed with other players according to their age group and skill level. In the event there is no space at an individual’s age group/skill level, tournament directors reserve the right to move a player up and age group/ skill level however, every attempt to keep players within similar experience level will be made.

Age Division (circle one): U6 U8 U10 U12 U14 Open Division (15-17) Adult Division (18 and Up)

Team Experience (circle one): Never Played Recreational: Advanced (A) / Novice (B) / Beginner (C)

Classic: Advanced (A) / Novice (B) / Beginner (C) Premier: Select Travel State

A Medical/Liability Waiver form must be completed for every player. A Birth Certificate (copy), current player card or current school report card will be required for proof of age group.

1) Player Name: _____________________________________________ Birth Date: ____/____/_____T-Shirt Size: ________

Cost of Individual Registration is $25.00 before April 17th or $40.00 if received after. Registration Deadline is May 1st – No Exceptions ~ Rain Date: Sunday, May 24th, 2015 ~ NO REFUNDS.

(Checks can be made out to: ACE Soccer Club)Form of Payment: Check _____ Cash _____

Email Registration to: acescup4v4tournament@gmail.com (Payment must be sent to address for registration to be complete)

Mail Registration and/or Payments to: ACE’S CUP 2364 Jackson Street, PMB226 Stoughton, WI. 53589-5404

Signature: ______________________________________________ Date: _____________________

(Registration will not be completed until payment is received and must be received by May 1st. Signing this document acknowledges: Registration Deadline is May 1st – No Exceptions ~ Rain Date: Sunday, May 24th, 2015 ~ NO REFUNDS.)