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UMSC 2010 Challenge Cup
06
05,
2010
To 06
06,
2010
UMSC, 7700 Kennedy Rd, Unionville, L3R 9S5
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Section
A -- General
Information |
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DO
NOT CHANGE ANY DATA IN PRE-FILLED BOXES
-- APPLICATION WILL BE RENDERED INVALID |
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Travel to |
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Club Name |
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OSA No.
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Travel
Dates |
To
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Destination |
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Section
B -- Competition
Information |
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Check that the Tournament information below
matches the Tournament you are traveling to. |
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CHECK
ID
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Tournament Name
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Tournament
Dates
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To
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Tournament Type
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Team Type
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Age Divisions Entered |
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Hold
down control key and select all that apply |
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Over Other Ages
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Section
C -- Host Information |
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Host Organization Name |
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OSA No. |
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Tournament Chair |
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OSA No. |
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Contact Name |
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Street Address |
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Unit |
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City/Town |
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Phone |
--x |
Website |
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Fax |
-- |
Email |
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Section
D -- Team
Information |
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Team Name |
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OSA No.
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Team Type |
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Team District |
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Section
E -- Applicant
Information & Authorization |
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By
authorizing this application form, the applicant
Club hereby acknowledges the jurisdiction of
FIFA, CSA, OSA, and its District Association
during the time period authorized by this
Application To Travel Form with regard to the
rules for team travel and competitions of all
these governing organizations; and furthermore,
the Club agrees to abide by the Published Rules
of these organizations. For travel outside of
Canada, the applicant Club certifies that it has
accident and LIABILITY insurance for the
traveling team. (NOTE: Travel insurance is
available from the OSA) The applicant Club also
agrees that its team will comply with all of the
competition rules of the approved tournament or
exhibition game. |
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Coach |
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Coach Name |
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OSA No. |
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Street Address |
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Unit |
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City/Town |
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Province/State |
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Postal
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Work Phone |
--x |
Website |
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Home Phone |
-- |
Email |
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Manager |
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Manager Name |
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OSA No. |
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Street Address |
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Unit |
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City/Town |
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Province/State |
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Postal |
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Work Phone |
--x |
Website |
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Home Phone |
-- |
Email |
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Section
F -- Agreement |
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The applicant
acknowledges jurisdiction of FIFA, CSA, OSA and
our District Association with regard to this
competition and agrees to abide by the Published
Rules of these organizations. |
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You must choose YES for the application to be
processed
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Type
Application
Number
into here
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1. Please wait
for the on-screen Application Form after you
click to continue.
2. Follow the emailing instructions for
processing your Application. |