October fest
Printable Registration 2008
Team Name: ________________________________________________

Club/Association: ____________________________________________

Age Group: _________________________________________________

Contact: _____________________________________________

Address: ____________________________________________________

City: __________________________  State: ______     Zip: _____________

Home Phone: _________________________

Work Phone: _________________________

Email: _______________________________

Team Rating (10=Outstanding):  1   2   3   4    5   6   7   8   9   10   (Circle One)

Competition:     Premier        Classic   (Circle One)

2008 Record: Wins______Losses______Ties______

2008 Highlights

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Make checks payable to:
The Bettendorf Soccer Association		 Submitting this registration form does not ensure a spot in the BSA October fest Tournament.  To verify the participation of your team you will receive a confirmation notice in the mail.  If you have any concerns, call Thomas Jarrett at 563-355-4889.
Mail checks to:
Bettendorf Soccer Association
P. O. Box 671
Bettendorf, IA  52722