2004 Issaquah Kick-Off Tournament Application

Illegible or incomplete applications will be returned

RECREATIONAL TEAMS ONLY

Team Name ___________________________________________________________________________________

Club _________________________________________ Club Phone # ____________________________________

GIRLS B BOYS AGE (2003 Fall Season) U-11 U-12 U-13 U-14 U-15 U-16 U-17 U-18/19 (Circle one)

Fall 2002 regular season record : Wins ___ Loss ___ Tie ___ Team Jersey Main Color __________________

Division your team played in the 2003 regular season (i.e. Division 1, Division 2, etc…) __________________________

Please explain divisions within your club:______________________________________________________________

Check one of the following:

Will play up one year if necessary Prefer to play up Will not play up

Tournament Dates: August 27-29, 2004

Team Contact Persons Name______________________________________________________________________

Address_____________________________________________________________________

City__________________________________ State ______________________ Zip________

Phone________________________________ Alt. Phone_____________________________

Email_________________________________Fax Number___________________________

Coach Name and phone (if different than above)______________________________________________________

Additional Information__________________________________________________________________________

Detach Below This Line And Keep The Information For Reference Return Above With Payment

Entry Deadline is AUGUST 9^th - tournament is usually full by this date.*

Registration Fee is $300.00 Please make checks payable to ISC. Include roster signed by coach and club registrar noting recreation team status ( must be received upon or prior to tournament check in.)

^{Tournament Roster Form - Click Here}

*Late registrations will be accepted as space permits. Late registration fee is $325 after August 9^th.

No refunds after August 9^th

Mail to: Issaquah Kick-Off c/o Peter Lechner 18305 SE Newport Way H202 Issaquah, WA 98027

For more information contact: Peter Lechner at (425) 957-0058 or email kickoff2004@lynxcliff.com v Club Phone (425) 391-KICK v

Tournament Dates August 27 – 29, 2004