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Dillsburg Dual Shootout
28th Annual
Soccer Tournament
October 10 & 11, 2020
Registration
form
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Team
Name:
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Age
Group: Select from drop down box.
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Team's record for
last season.
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If
New Team select YES.
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Wins
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Losses
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Ties
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Level
of Play: What
level of soccer are your currently playing?
Premier, D1, D2, or D3
Premier being most competitive.
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Play
Up:
My team is willing to play in the next higher age group if necessary.
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Soccer
Club Name:
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Soccer
League Affiliation:
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State
Soccer Association:
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Team
Contact Name:
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Street
Address:
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City:
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State:
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Postal
Code:
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Contact
Mobile number:
format: (999)999-9999
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() -
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Contact
E-mail address:
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