2009 Cocoa Expo Summer Classic Application


Team Information: 

Team Name              Select Age Group:   

# of Coaches:    # of Players    # of Others

Team Contact:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Cell Phone
Home Phone
FAX
E-mail

Accommodations (Save 50% off your entry fee when your team stays on one of the Accommodation Plans)

  Plan
Meals
Dormitory Select Plan
  A 3 $39.99
  B 2 $34.99

Arrival Date:               Arrival Time:
Departure Date:     Departure Time:

 

Payment Method:                 CC #.                                                            Exp Date:

            

Name on Card:

The Application fee is reduced by 50% if your team selects one of the Lodging Accommodations

Your Application is not considered official until your Application Fee is received by Cocoa Expo.


Please type name here indicating that you have read the above conditions/ Refund Policy

Even if you do not pay with a credit card, you must read the above conditions.

Application fee is non-refundable once your team has been accepted