| Section:
______ Area:______Region:______ |
Region
Name:______________ |
| Division: U10 U12 U14 U16 U19 |
Gender: Boys__ Girls__ |
| Coach
Name:____________________________________________ |
| Address:________________________________________________ |
| City:______________________ State:_______ Zip
Code:__________ |
| Work
Number:_________________ Home
Number:____________________ |
| Fax
Number:__________________ Email:________________________ |
I
hereby agree to abide by all obligations and requirements of
the AYSO Hawaii Rainbow Tournament. I will provide a qualified
AYSO Referee Team consisting of: One (1) center referee and
two (2) assistant referees for all assignments. I have
enclosed the appropriate tournament fee and referee deposit.
|
| Head
Coach: ____________________ |
|
|
(Signature) |
|
|
| Regional
Commissioner: ______________ |
E-mail: ________________ |
|
(Print) |
|
|
| RC
Signature: _________________ |
Date:
________________ |
|
(Signature) |
|
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