| Hackettstown Tiger Youth Soccer Association's 12th Annual "THE BLAST" Soccer Tournament Saturday June 25th & Sunday June 26th, 2005 APPLICATION |
| Team Name: ________________________________________________________________ Team Age Group: (check one) U19__ U17__ U16__ U15__ U14__ U13__ U12__ U11__ U10__ U9__ U8__ Team Gender: (check one) Boys___ Girls___ Uniform Jersey Color(s): _________________ _______________ Alternate Jersey Color(s): _________________ _______________ Coach / Contact Name: ___________________________________ Mailing Address: ________________________________________ City: ________________________ State: ____ Zip Code _______ Telephone #: ( ___ ) ___ - ____ Fax #: ( ___ ) ___ - ____ E-Mail Address: ___________________ @ ___________________ TEAM STRENGTH PROFILE Team Type: (check one): SELECT___ PREMIER___ CLUB___ League Name: _________________________________________________________ Your Team's Flight: (Spring '03) U___-___ Record: __W __L __T Place:___of___ Your Team's Flight: (Fall '02) U___-___ Record: __W __L __T Place:___of___ Your Team's Flight: (Spring '02) U___-___ Record: __W __L __T Place:___of___ Recent Tournaments City State Season Year Flight Place Ex The Blast Hackettstown NJ summer 2004 U11-B 1of4 ____________ _________ _____ ______ ____ ____ ___of___ ____________ _________ _____ ______ ____ ____ ___of___ ____________ _________ _____ ______ ____ ____ ___of___ ____________ _________ _____ ______ ____ ____ ___of___ Team's Strength within age bracket: (check one) Strong___ Average___ Weak___ Is your team willing to play up a year? Yes ___ No ___ Signature: ___________________________ Date: ___/___/___ |
| BLAST Home Welcome Contacts Teams Players Application Process Entry Fees Directions Tournament Rules Favourite Links |
| Return this application with a check for appropriate amount (check the "Entry Fee" page), made out to "Hackettstown Tigers Youth Soccer Association". Mail to: Hackettstown Soccer Club, BLAST 2003 - T.D., P.O. Box #3, Hackettstown, NJ 07840. |