4v4 No Goalie Shootout
January 27-29, 2017
$125 per team
Maximum of 8 players per team
Guarantee of at least three games
Ezell Harding
475 Bell Road
Antioch, TN 37013
Registration deadline is January 20, 2017. The entry form is available
HERE
Feel free to contact Michelle Conn, Tournament Director, with any
questions, comments, or concerns. We look forward to hearing from you
and can't wait to see you at the tournament!
Please send all questions to [email protected]
Items required at registration:
 Medical release forms for all players
 Participation Waiver Form which will serve as your player roster
Eagle Express Soccer Club
4v4 No Goalie Shootout
Tournament Application
Team Name:___________________________________________________
Age Group: U8 (09)
U14 (03)
Team Gender:
U9 (08)
U15 (02)
Boys
Level of Competition:
U10 (07)
U16 (01)
U11 (06)
U12 (05)
U17 (00)
U18 (99)
U13 (04)
Girls
Gold
Silver
Bronze
Team Contact:__________________________________________________
Phone Number:_________________________________________________
Email:________________________________________________________
Additional Comments About Your Team’s Entry:
Please complete your application by signing below. By signing this application, you agree to
all terms of the Eagle Express Soccer Club event including the potential cancellation policy
listed in the tournament rules which are posted on the Eagle Express website.
Team Contact Signature:___________________________________________
Please scan your team application and email to our Tournament Director at
[email protected] Please submit payment (must be check) written to EESC
General Fund by January 20, 2017. You can mail directly to: 104 Greenwich Court, Old
Hickory, TN 37138. Any questions should be sent to Tournament Director Michelle Conn at
[email protected] or 615.498.9654