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Unified Sports Intent To Enter Form
High School/Middle School Soccer

  • All information below is required.
  • Submit separate entries with unique team names and roster if you wish to enter teams at different levels.
  • Anything over two tournaments per school will be subject to availability.
  • Be sure to make a note of the access code you set up with this form, it will be needed for you to submit your confirmation prior to the tournament.
Team Name:
School:
Telephone:
Address:
City/Town:
Zip Code:
Event(s) you wish to enter: Tue., Oct. 9 @Quinnipiac Park, Cheshire 3-5:30pm (MS-Outdoor)
Wed., Oct. 10 @Amity HS 3-5:30pm (SCC League Only)
Thu., Oct. 11 @Bristol Central HS 3-5:30pm (HS-Outdoor)
Wed., Oct. 17 @New Canaan Country School 3:30-6pm (MS)
Thu., Oct. 25 @Avon Old Farms School 3-5:30pm (HS-Indoor)
Mon., Nov. 5 @Staples HS 3-6pm (HS-Indoor)
Thu., Nov. 8 @Conard HS 3:30-5:30pm (CCC League ONLY)
Thu., Nov. 15 @Wilby HS 3-6pm (MS & HS)
Fri., Nov. 16 @East Hartford HS 3-6pm (HS-Indoor)
Level:
Number of Wheelchairs:
Roster:
Name Date of Birth M/F Athlete/
Partner
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Name of Principal:
Name of Coach:
Coach's Direct/Cell Telephone:
Coach's e-mail:
Practice Schedule:
Access Code:
CERTIFICATION
By checking this box the listed coach certifies that the students listed in the above form have satisfied
the State Health Statutes and local regulations regarding physical examinations and are physically fit to participate.