Team Entry Form

2012 Golden Spike Tournament
May 11-13, 2012
CBYSA
C/O Bobbi Calderon
221 Zenith Drive
Council Bluffs, IA 51503
Cell: 402-630-0561
Email: goldenspikecb@yahoo.com

Please complete the information requested on this page. Submit one form per team entered in the tournament. You must also mail a state-certified roster with your entry fee to the tournament director prior to the deadline. Your application will not be complete until all necessary paperwork and your entry fee have been received by the tournament director. Teams will receive a confirmation of acceptance into the tournament with all necessary information.

If you do not receive email confirmation within 24 hours of submission, please send an email to Bobbi Calderon at gldnriley@yahoo.com.

Special Note: DO NOT use the ampersand (& or shift7) when entering information as this may cause a loss of data.

2012 Golden Spike Tournament On-Line Entry Form

Team Information

Current Association or league

Team Name

Select Boys or Girls from the Drop Down Menu

Select Your Team's Age Group From the Drop Down Menu

Please Enter Your Previous Season's Record (Wins-Losses-Ties), If Known

Head Coach Information (required)

Head Coach Name

Street Address

City, State, and ZIP

Day/Cell Phone (XXX-XXX-XXXX)

Evening Phone (XXX-XXX-XXXX)

Email

Please enter your shirt size

Please enter your team manager's information below. This should be the person whom we will contact for any important communication. If the coach is acting as team manager, then list a secondary contact or assistant coach.

Team Manager Information

Team Manager Name

Day Phone (XXX-XXX-XXXX)

Cell Phone (XXX-XXX-XXXX)

Email Address

Supplementary Information

If you have other teams playing in this tournament, please give the team name(s) and age division(s) below.

Other team information

If there are any scheduling accomodations you would like us to consider, please state below. Depending upon the number of teams, there may be Friday night and early Saturday games. All scheduling conflicts must be identified by April 22. Please understand that all requests will be reviewed, but may not be accomodated.

Scheduling requests

Before submitting, please review your information and print a copy for your records. Remember to mail your entry fee and state-certified roster to the address at the top of this form. Make checks payable to "CBYSA." When you have completed all form items and printed copies, click on the Submit button below. By clicking on Submit, you also agree with the following statement:

I HAVE READ THE TOURNAMENT RULES AND AGREE TO THE SPECIAL STIPULATIONS AND RESTRICTIONS STATED THEREIN.


© Copyright 2013 Council Bluffs Youth Soccer Association, All rights reserved.