REGISTRATION FORM COPA SANTA ANA 2023

TEAM NAME *

Have you read the tournament rules yet? IF YOU HAVE NOT READ THEM, YOU ACCEPT ANY DISCIPLINARY DECISION THAT THE ORGANIZING COMMITTEE MAKES. WE RECOMMEND YOU READ THEM AND SHARE THEM WITH YOUR GROUP IN GENERAL *

Coach First Name *

YOU HAVE A COACH LINCENSE *

YES

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Administrator First Name

Last Name

Phone Number

Email Address

YOU CAN PAY BY ZELLE AT

714.341.8570

CALIFORNIA STATE SOCCER LEAGUE

TEAM BRAKET *

GENDER *

TOTAL:

$0.00

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

2015-$425.00
2014-$425.00
2013-$425.00
2012-$425.00
2011-$575.00
2010-$575.00
2009-$625.00
2008-$625.00
2007-$675.00
2006-$675.00
2004/2005-$675.00