Tournament Contact:
Gary Rodriguez
[email protected]
Mail Form to:
6155 Sports Village Rd
Suite #200
Frisco, Texas 75034
Office: 972-712-4625 (GOAL)
FSA Qualifying Tournament
*Registration Form
Team Name: ________________________________________ Age Group:_______________________
GENDER (Circle One):
TOURNAMENT DIVISION (Circle One):
BOYS
U10
GIRLS
U12
U14
U16
U19
Coach: ______________________________________________________________________________
Home Phone: ________________________________Cell Phone: _______________________________
E-mail: ______________________________________________________________________________
Primary Contact for Tournament if Other Than Coach:
Name: ________________________________________Position with Team:______________________
Home Phone: _______________________________Cell Phone: ________________________________
E-mail: ______________________________________________________________________________
*NOTE: In order for your registration to be complete, $100 Fee/Bond must accompany registration
form. Due at FSA office by Monday, October 24 at 4:00p.m. Teams must register with the FSA office and
submit a $100 performance bond (a check which we will hold). If they do not complete all of their games in either the
qualifying round or the TOC, the money will be retained by the league.
MANDATORY Coaches Meeting: There will be a coaches meeting on Thursday, November 3rd, 2011 at
7pm at the FSA Soccer Office located 6155 Sports Village Rd #200, Frisco, TX 75034. Your team MUST have a
representative at the meeting. If a team does not have a representative, that team risks disqualification from the tournament.
Team MUST be available to advance and play in the North Texas State Soccer Association, Tournament of
Champions, if they cannot commit to the NTSSA tournament the first weekend in December, then they are deemed ineligible
for the playoffs.
X_______________________________________________________________
Signature of Coach or Primary Team Contact for Tournament
Office use only
Date Reg/Bond Received____________
Amount_________________
Check Number/Cash____________
FSA Official_____________
Notes: ____________________________________________________________________________