Texas Lightning 2006 Youth Cup Team registration - Deadline: 3/20/2006
Manditory fields are marked with *
Club Name: * City: * State: *

-----Age: * Boys or Girls: * Designation: (North, Blue, A, etc.)

Team Colors: Alternate colors:
Coach Information
Name: * - Phone: * Email: *
Address: Suite/Apt.#:
City: ------ State: Zip:
Check this box if the coach is the primary contact:
Manager Information
Name: * - Phone: * Email: *
Address: Suite/Apt.#:
City: ------ State: Zip:
Check this box if the manager is the primary contact:
Travel Information
Check this box if you need hotel assistance
Date of Arrival:--
Departure Date:
League Information
League Assoc: State Assoc:
Fall 04:-----Wins: Losses: Ties: Standing:
Spring 05: Wins: Losses: Ties: Standing:
Fall 05:-----Wins: Losses: Ties: Standing:
2004 State Cup - W: L: T: Standing:
Advancement Beyond State Cup:
Regionals: Nationals:
Tournament Record
Name: Wins: Losses: Ties: Place:
Name: Wins: Losses: Ties: Place:
Name: Wins: Losses: Ties: Place:
State Pool Players: Regional Pool Players: National Pool Players:
Any special scheduling requests?:

Waiver of Liability

As the representative of the team submitting this application to participate in the 2005 Texas Lightning Showcase Soccer Tournament, I do hereby discharge, waive and release Texas Lightning Soccer Club, its partners, officials, referees, agents and representatives from any claim arising from an injury to a duly registered player, coach or official of this team, and hereby certify that each player, coach and official is covered by approved medical insurance as is required by Youth Soccer State Associations.

This team agrees to accept the decisions of the Tournament Director as to the playability and therefore the outcome of the tournament due to adverse weather conditions or other unforeseen circumstances, without any appeal, objection or compensation what so ever, unless otherwise specified.