How to register:

  1. Print this page (it will print three forms)
  2. Fill out all three forms completely
  3. Mail the team registration form, the party ticket reservation form, and ONE CHECK payable to Score for a Cure, Inc. for the amount listed with your tournament choice to:

Score for a Cure

89 Green Way Drive

Clayton, NC, 27520


Your registration is not complete until we have received your completed team registration form, party ticket reservation form, and the check to cover your registration fee.

Please bring your completed team roster form and a gift basket to donate on the day of the tournament.

Score for a Cure

Team Registration Form

Team Name:  
Jersey color:   Alternate jersey color:  
 
Contact person:
Name:  
Address:  
City:   State:   Zip:  
Phone (Home):   Work:   Cell:  
E-mail address:  

Tournament choice:

  Saturday-Sunday Daytime Tournament

Division:    21+      30+      40+  

ENTRY FEE: $400 ($350 if postmarked by Feb 1st) and a donated gift basket

If we have to split divisions, would you PREFER to play recreational or competitive? (Circle your choice)

OR:

  Twilight Co-ed Tournament

Division:    21+      30+  

ENTRY FEE: $275 and a donated gift basket

If there aren't enough teams for two divisions, it is possible that the Twilight divisions will be combined.


For either tournament, please make checks payable to Score for a Cure, Inc..

I, _______________________ ( team representative ) do hereby for myself, my team, my heirs, and assigns, waive and release any and all claims to damage against the JunglePlex, Score for a Cure, Inc. and their agents and authorized representatives conducting the Score for a Cure Indoor Adult Soccer Tournament, as result of any and all injuries incurred. In addition, I agree to abide by all decisions as rendered by official tournament staff, and will be responsible for the conduct demonstrated by all of my players, coaches, and spectators. I understand that my actions by my team, coaches, and spectators may jeopardize my invitation to future tournaments hosted by the JunglePlex and Score for a Cure, Inc. In addition I authorize the Score for a Cure Tournament volunteers to take and use any photographic images of team members for promotional purposes.

Signed: _____________________________ Date: _________________

Score for a Cure

Party Ticket Reservation Form

Team Name:  

Number of Reserved Party Tickets:  


You will be responsible to pay for this number of tickets on the day of the tournament (tickets are $10.00 each).

It is important to reserve your tickets in advance, because only a limited number of unreserved tickets will be available to purchase on the day of the tournament.

Score for a Cure

Team Roster

All players will be REQUIRED to show proof of age and sign a JunglePlex / Score for a Cure waiver on the day of the tournament before they are allowed to play.

Team Name:  

Jersey # Player Name Date of Birth