Tournament Registration

Hosted by AYSO Region 422 Ogden Valley, UT

Annual AYSO High Valley Shootout                            Open Invitational Tournament

Team Application Form

Application Instructions

Applications are now being accepted for entrance into the AYSO High Valley Shootout Open Invitational Tournament.

The deadline to enter the tournament is June 25, 2010. Applications accepted by that date will be given priority for acceptance into the tournament; all others will be accepted based on any available openings.

Applications will be accepted on a first-come basis, based on a completed application. To be considered complete, your application must include all of the following:

1.     Team Application Form, signed by the Head Coach and the Regional Commissioner or Organization President/Registrar

2.     Team Roster Form signed by your Regional Commissioner or Organization President/Registrar

Roster Notes:

·         Alternatively, AYSO teams may submit an eAYSO Roster form, however it must include the names of the Head Coach and Assistant Coach and be signed by your Regional Commissioner.

·         Roster changes will be allowed up until Team Check-in; after that, no roster changes. All roster changes must be approved by your Regional Commissioner or Organization President/Registrar.

·         Rosters must be comprised solely of players who were registered to play in the just concluded AYSO / Organization primary season program.

·         Up to 3 guest players may be added to your roster from a neighboring AYSO region or Organization team. In this case, the guest player’s Regional Commissioner or Organization President/ Registrar must sign the roster.

·         Player roster limits are as follows:

                                                       U-19/U-16                  18 players max                    11-v-11 play

                                                            U-14                       15 players max                    11-v-11 play

                                                            U-12                       12 players max                    9-v-9 play

                                                            U-10                       10 players max                    7-v-7 play

3.     The completed Referee Form signed by your organizations appropriate Referee Administrator (if you’re not planning to bring referees, just check the box on the Referee Form and return it without signature).

4.     A single Regional / Organization check for the total amount of the Team Entry Fee and the Referee Commitment Deposit.

Team fees are:                 Age Division              Team Entry Fee       Referee Deposit         Total Fee

                                               U-19/U-16                      $250                            $150                                $400

                                                    U-14                           $225                            $150                                $375

                                                    U-12                           $225                            $150                                $375

                                                    U-10                           $200                            $150                                $350

Send your completed application and Regional/Organization Check to:                Tournament Registrar - Chris Poulson

AYSO High Valley Shooutout

P.O. Box 614

Eden, UT 84310

If accepted, it will be assumed that you intend for your team to play the entire tournament, and to return if necessary on the rainout alternative dates (in the event that becomes necessary).

If your application is not accepted, you will be offered the opportunity to be placed on a waiting list, or if you prefer we will return your application to you.

Refund: if you withdraw your application 30 or more days from the start of the tournament, a full refund will be issued. If you withdraw after that time, we will only issue a refund if a replacement team can be found, less any cost to register that replacement team.

All information about the tournament can be obtained by visiting our website at ayso422.tripod.com/highvalleyshooutout

Please note that email and the internet will be the primary means of communication for this tournament.

We will be sending out information via email newsletter once your application is received. In the meantime, if you have any further questions, you may contact us as follows:

                                                                                                            Kathy Nelson 801-391-0698

                                                                                                            E-mail echokathy@yahoo.com

                                                                                                            Web site ayso422.tripod.com/highvalleyshooutout

Annual AYSO High Valley Shootout

Open Invitational Tournament

Team Application Form

Application Date:

Section:

Area:

Region Organization

Region/Organization Name:

Team Name:

Age Division:

U-10

U-12

U-14

U-16

U-19

Boys

Girls

Coed

Contact Information

Coach Name:

Asst. Coach Name:

Email:

Email:

Mailing Address:

Mailing Address:

City/State/Zip:

City/State/Zip:

Evening Phone Number:

Evening Phone Number:

Emergency Phone Number:

Emergency Phone Number:

AYSO/Organization ID#:

AYSO/Organization ID#

Certification Level:

Certification Level:

Safe Haven Date:

Safe Haven Date:

Shirt Size:

AS AM AL AXL AXXL

Shirt Size:

AS AM AL AXL AXXL

Team Rating Criteria:

1) We are an Allstar/Select Team, the only one from our region.

Yes

No

2) We are an Allstar/Select Team, one of

teams in this age division from our region.

Yes

No

3) We are a Fall regular-season team.

Yes

No

4) My team competitive rating between 1 (low) and 10 (high) is

5) The average age of our players as of January 1, 2009 is

Team Head Coach Approval:

Yes, I have read the tournament rules and I promise to abide by them. I also am committed to returning on the alternative dates should the tournament be rescheduled due to inclement weather, etc.

Yes, I understand that this is a 4-day tournament and that the medal round games are on the fourth day. I hereby notify you that I will NOT be able to complete the tournament for the following reason:

Coach Signature

Regional Commissioner or Organization President/Registrar Approval: Yes, the above team has my permission to attend the High Valley Shootout Open Invitational Tournament. Please report any behavior problems to me immediately. I understand that players from outside my region (Guest Players) will need approval as well from the Guest Player Regional Commissioner/Organization President

I hereby approve the addition of

Guest Players for this team.

Print Name

Signature (in red or blue ink only, please)

Email:

Best Phone:

NOTE:       Please indicate how many of your players will be attending or performing in the 2010 Extravaganza at WSU, so that we can schedule games around those performances!

# players attending _______

The Referee Refund Check should be mailed to:

AYSO Region /Organization Treasurer

Send Check to Attention of:

Mailing Address:

City / State / Zip