On-line Form

KACHINA KLASSIC/SAFE HAVEN TOURNAMENT

2000 TEAM APPLICATION FORM

  1. Complete the form below (your application date will be the date/time our system receives this on-line form).
  2. Mail the following:

    a. Completed Roster
    b. Two checks made payable to Dobson Area Soccer League (1 - $275.00 Registration Fee and, 2 - $150.00 Referee Deposit).
    c. Copy of your Safe Haven Certificate

    KAREN RITCHIE
    C/O KACHINA KLASSIC
    1252 W. KIVA AVE.
    MESA, AZ 85202

     

  3. Deadline - February 16, 2000


 

AYSO Region Community
 
Boys or Girls Team? Age Group
 
Team Name Team Colors
 
Alternate Jersey ?
 
Coaches Name
 
Address
 
City State Zip
 
Home Phone Work Phone
 
Team Contact
 
Home Phone Work Phone