Capital Area MS Soccer Application 2015-2016
Deadline: Friday, November 13th
Contact Information:
School Name:___________________________ Team Name:________________________________ Uniform Colors:_______________________________
Coach’s Name:____________________________ Email:__________________________Cell:(____)_______________________
Manager’s Name:__________________________Email:__________________________Cell:(____)_______________________
Division Requested (Please check one):
Boys
[ ] MS Boys Div 1(7th/8th)
[ ] MS Boys Div 2(6th/7th)
[ ] MS Boys (5th/6th)
Girls
[ ] MS Girls Div 1(7th/8th)
[ ] MS Girls Div 2(6th/7th)
[ ] MS Girls (5th/6th)
Team Information:
Number of 8th graders:______ Number of 7th graders:______ Number of 6th graders:______ Number of 5th graders:______
Game Days (League Play):
December 4-6
December 11-13
December 18-20
January 8-10
January 22-24
January 29-31
Tournament Dates:
January 15-18
Additional League Info:
 Make Check Payable to CCU and mail to soccer office at: 2620 Terrace Ave., BR, LA 70806 – Cost is $400 per team.
 Players must have played with an LSA affiliated club during the Fall 2015 season; if not, there is a $10/LSA player insurance fee to participate per player not with LSA. (Pls see
Roster Sheet)
 Roster size is unlimited but a minimum of 11 must sign up to form a school based team.
 Coed teams are accepted and they will play in the Boys Division.
Questions:
Please Contact Chris Mitchell at [email protected] or 225-266-4631