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Gordon Head Soccer Association

Victoria British Columbia Canada

Gordon Head Soccer Jamboree 2010 Application Form

April 16-18, 2010

All information is mandatory except for the Contact 2 information, Players 11-18 and Hotel Information
Club Name:
Team Name:
City Prov/State:
Jamboree Division: (this is the group you wish to compete in the jamboree) Competitive Recreational A Recreation B
Age Group: (U11 only - Super 8 format) U11 U12 U13 U14 U15 U16 U17 U18
Gender: Boys Girls
Division of Play: Metro Gold Silver Bronze
Home League Divisional Pool: (** Especially important for Mainland teams **)
Example: Boys U14 Silver 1, please type 1 in the Home League Divisional field. Girls U15 Silver A-1 or B-X, please type A-1 or B-X in the Home League Divisional field. These Divisional examples are from BC Soccer Central. Type NA if there is only one pool in your teams division.
Was this team a participant in last year's Jamboree? Yes No
Will you play an older, or higher level team, if necessary? Yes No
Will your team be arriving on Friday evening? (please be accurate with your answer) Yes No
Can your team play a game on Friday evening? (6:00,7:15 or 8:00 PM)
(Assumption will be that you can play at any of these times. Indicate starting time in comments field if this is not the case)  		Yes No
What time can you start play on Saturday? (schedule starts at 8:30am)

Expectation is that teams travelling on Saturday will come over on the 7am sailing.
What time must you end play on Sunday?
Preference for early times will be given to teams that have long distances to travel,
flights to catch or are younger teams.

Contact 1: Contact 2:
E-Mail: E-Mail:
Address: Address:
City: City:
Prov/State: Prov/State:
Postal Code/Zip: Postal Code/Zip:
Day Phone: Day Phone:
Night Phone: Night Phone:
Fax: Fax:
Hotel Name: Hotel Address:
Hotel Phone Number:

In order to have your team listed in this year's program, we require you fill in the roster form.
A maximum of 3 coaches/staff and 18 players. We do not require the player's numbers.

Coaching Staff: (maximum of 3)
To be published in the Jamboree Program 		Title:
To be published in the Jamboree Program
Staff 1: Title 1:
Staff 2: Title 2:
Staff 3: Title 3:
 
Players Name: (maximum of 18)
To be published in the Jamboree Program 		Birthdate
Not to be published in the Jamboree Program
Player 1: Birthdate:
Player 2: Birthdate:
Player 3: Birthdate:
Player 4: Birthdate:
Player 5: Birthdate:
Player 6: Birthdate:
Player 7: Birthdate:
Player 8: Birthdate:
Player 9: Birthdate:
Player 10: Birthdate:
Player 11: Birthdate:
Player 12: Birthdate:
Player 13: Birthdate:
Player 14: Birthdate:
Player 15: Birthdate:
Player 16: Birthdate:
Player 17: Birthdate:
Player 18: Birthdate:

Comments/Questions?