2012 Kohl's American Cup Application

May 12-13, 2012
Application Deadline April 16, 2012
Deadline EXTENDED to April 20, 2012  

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Division: Boys Girls Age group: U-09 U-10 U-11 U-12 U-13 U-14 U-15 Team type: Recreational Competitive / advanced If competitive, bracket choice: Gold Silver Bronze The tournament reserves the right to combine brackets if applications warrant. Pure age groups will be established if enough teams enter. Team information: Team name: League: Club (if applicable): Team head coach information: Head coach name: Head coach e-mail:  Enter a valid email address. Example: name@company.com Head coach phone (evening):  Enter a valid phone number. Example: 123-456-7890 Head coach phone (day):  Enter a valid phone number. Example: 123-456-7890 Team contact person information: Contact name: Contact e-mail:  Enter a valid email address. Example: name@company.com Contact phone (evening):  Enter a valid phone number. Example: 123-456-7890 Contact phone (day):  Enter a valid phone number. Example: 123-456-7890 Team volunteer (optional) (If you are interested in volunteering to work at the tournament, pleae complete this section): Volunteer name: Volunteer e-mail:  Enter a valid email address. Example: name@company.com Volunteer phone (evening):  Enter a valid phone number. Example: 123-456-7890 Volunteer phone (day):  Enter a valid phone number. Example: 123-456-7890 Additional information: To assist with flighting teams equitably, please fill in applicable information about your team's experience (you may also add additional information in the "Notes and Comments" field below): League record for 2011-12 season: Wins: Losses: Ties: What tournaments (if any) have you played in this year (2011-12)? If more than two, enter additional information in "Notes and Comments." Tournament name / city: Bracket: Place: Wins: Losses: Ties: Tournament name / city: Bracket: Place: Wins: Losses: Ties: PAYMENT: Non-refundable application fee (by Apr 16, 2012) of $275 (U09-U12) or $295 (U13 up) [plus $50 late fee thereafter] [Note: a credit card processing fee will be added to all credit card transactions] Payment method: I am calling the state office with my credit card information (505-830-2245) [processing fee applies] I have mailed my check to NMYSA, 2825 Broadbent Pkwy NE, Suite D, ABQ 87107 (enter check # in comments below) I am delivering my check to the state office (enter check # in comments below) Notes and comments: APPLICATION IS NOT COMPLETE AND ACCEPTED UNTIL PAYMENT IS RECEIVED.