Registration and Payment

Team Application for Southeast Challenge 2010 Soccer Tournament Jack Allen Soccer Complex, Decatur, Alabama, March 20 - 21, 2010.

Team Application Deadline: February 27, 2010

Apply Online Now - You can process application fee via PayPal secured transaction (takes all major credit cards)

Application in MS Word | Application in .pdf

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If your team is not accepted, the entry fee will be refunded in full. Once a team is confirmed accepted (acceptance letters have been mailed) the entire entry fee is forfeited if team withdraws from Tournament and also that no refund will be made in the event of cancellation or shortening of any matches due to inclement weather or a condition beyond the Tournament’s control.

Tournament Selection Committee reserves the right to place your team in the division it deems appropriate. Applications received without fees will not be processed. Any special requests please make in writing and attach to application. Special requests will be considered but not necessarily guaranteed.

If applying off-line, mail completed application and a check for application fee to:

Southeast Challenge 2010 c/o

Premier Soccer Events, LLC

18 The Falls Dr.

Birmingham, AL 35216

For application to be considered complete, the following must be included:

____ Completed Team Application Form

____ Copy of Team Roster

____ Check for $350.00 (for U-9s and U-10s)

____ Check for $400.00 (for U-11s and U-12s)

____ Check for $475.00 (for U-13s and U-14s)

*Premier Soccer Events, LLC is the official Southeast Challenge 2010 Tournament operations and management provider.

To contact Premier Soccer Events, LLC, please email: tournamentdirector@SEChallenge.com or call 205-527-5115

Online Application

All fields with a "*" must be completed
Online Application - CURRENTLY OFFLINE FOR MAINTENANCE. CHECK BACK SOON.

Team Application

Step 1 of 6: Team Info

All fields marked with an asterisk are required.

Team Name

Please enter the name of the team
Gender Boys Girls
Please indicate the sex of the team
Age Group

Please select the appropriate age group.
State Association

Please select the State Association of the team.
League

Enter the name of the team's League
Competitive Category

Select the Competitive category of the team

Step 2a of 6: Primary Contact Information

Please enter the contact info for the primary team contact.

* Primary Contact Name First Last
Please enter your full name.
* Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Please enter your full address.
* Cell Phone

Please enter the cell phone number of the primary contact.
* Work Phone

Please enter the work phone number of the primary contact.
* Home Phone

Please enter the home phone number of the primary contact.
* Email

Please enter the Email of the primart contact.

Step 2b of 6: Secondary Contact Information

Please enter the contact info for the primary team contact.

* Secondary Contact Name First Last
Please enter your full name.
* Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Please enter your full address.
* Cell Phone

Please enter the cell phone number of the Secondary contact.
* Work Phone

Please enter the work phone number of the Secondary contact.
* Home Phone

Please enter the home phone number of the Secondary contact.
* Email

Please enter the Email of the primary contact.

Step 3 of 6: Recent Team History - Tournament Information

If any info area is not applicable to your team, just put N/A in the Name field.

Most Recent Tournament Info

Tournament1 Name

Enter the name of the most recently played tournament.
Tournament1 Date / MM / DD YYYY
Enter the date of the most recent tournament
Tournament 1 Wins

Enter the number of wins in the most recent Tournament played.
Tournament 1 Losses

Enter the number of losses in the most recent Tournament played.
Tournament 1 Ties

Enter the number of losses in the most recent Tournament played.

Next Most Recent Tournament Info

Tournament2 Name

Enter the name of the most recently played tournament.
Tournament2 Date / MM / DD YYYY
Enter the date of the next most recent tournament
Tournament 2 Wins

Enter the number of wins in the next most recent Tournament played.
Tournament 2 Losses

Enter the number of losses in the next most recent Tournament played.
Tournament 2 Ties

Enter the number of losses in the next most recent Tournament played.

Step 4 of 6: Cup Competition Info

Please enter the last 3 years of State Cup Competion results (if applicable)

Most Recent Cup Competition Info

Cup1 State

Enter the name of the Next Most Recently played state cup competition.
Cup1 Year

Enter the year of the Next Most Recently played state cup competition.
Cup 1 Division

Enter the number of wins in the Next Most Recent cup competition played.
Cup 2 Finish

Enter where finished in the Next Most Recent cup competition played.

Next Most Recent Cup Competition Info

Cup2 State

Enter the name of the Next Most Recently played state cup competition.
Cup2 Year

Enter the year of the Next Most Recently played state cup competition.
Cup 2 Division

Enter the number of wins in the Next Most Recent cup competition played.
Cup 2 Finish

Enter where finished in the Next Most Recent cup competition played.

Step 5 of 6: Recent League Record

Please enter any recent league information

League Season

Enter the Season of the most recently played league.
League Division

Enter the Division of the most recently played League.
League Competition Level

Describe the competition level of the most recently played League.
League Wins

Enter the number of wins in the most recent League played.
League Losses

Enter the number of losses in the most recent League played.
League Ties

Enter the number of losses in the most recent League played.
League Final Standing

Enter the final standing in the most recent League played.

Step 6 of 6: Comments

Please enter any additional team information.

Comments

Please enter any additional team information or comments you may have.
Payment Type

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