The Big chill

FC Freeze Home

Home

Entry Application

Club/Team Name

Age Group

Level

Boys or Girls

Number of Returning Players

Level of Current Team Play

Division Placement for Premier or Travel Team

Coach	Address
City	State
ZIP	Home Phone
Work Phone	FAX
Email Address	Cell Phone

Address to mail tournament information if different than coach

Name

Address

City

State

ZIP

Home Phone

Work Phone

Cell Phone

Please Insert Player name and number in the spots below

Please mail a check made out to F.C. Freeze in the amount of $350 per team for teams U-8 through U-12; Please mail a check for $400 per team for teams U-14 through U-18. Send check to :

FC Freeze
C/O Bob Durocher
113 Judson Street,Canton NY 13617

Contact: Bob Durocher, Head Men's Soccer Coach, St. Lawrence University, Augsbury Center, Canton, NY, 13617 Phone: (315) 229-5870 E-mail: bdur@stlawu.edu