First Name:               Last Name:     Date:        

Email:        

Address:            City:             

State:                  Zip:                  Country:            Team/ Club Name:       

Age Level:         Competition Level:       

Your Position with team:       

Coach's First Name:             Coach's Last Name:  

Coach's Phone:        Coach's Email:        

What program (s) are you interested in:             Choose One Baseball Camp Baseball Tournament Baseball Spring Training Soccer Camp Soccer Tournaments Soccer Training Camp Cocoa Expo Softball Lacrosse Basketball Football Cheerleading Swimming Golf Tennis Volleyball Band              Choose Another Baseball Camp Baseball Tournament Baseball Spring Training Soccer Camp Soccer Tournaments Soccer Training Softball Lacrosse Basketball Football Cheerleading Swimming Golf Tennis Volleyball Band Camp Cocoa Expo

What time of the year are you interested in visiting Cocoa Expo:            Choose One January February March April May June July August September October November December              Choose Another January February March April May June July August September October November December

Would you like the Cocoa Expo to send you information about that program?            Choose One Yes No

What would your approx. budget be (per person) for a trip to the Cocoa Expo for an event?        

Would you Drive or Fly to the Cocoa Expo?            Choose One Drive Fly   Would you like to have our official travel agency

 contact you for assistance and savings?    Choose One Yes No Would you like someone from the Cocoa Expo Athletic

department to contact you?    Choose One Yes No

Please refer one person who would like to have information about the Cocoa Expo sent to them:

Official Contest Rules:

Only one entry per person. Multiple entries will be disqualified. No purchase necessary. Some restrictions apply. Void where prohibited and in RI. All federal, state and local laws apply. The decision of Cocoa Expo is final. The winner will be notified by email and/or telephone within five working days of the drawing at which time a home address will be requested to forward a registered letter of notice. Only one winner per family or household. Cocoa Expo staff has final say over contest results and rules. Employees of Cocoa Expo or affiliated company employees and their families are not eligible. Winner must be 18 years old or older and a resident of the United States. Winners understand and agree that they are responsible for any and all taxes incurred on prizes received. All prizes are non-transferable and void where prohibited by law. No cash substitution of prizes allowed. In the event that a winner chooses not to accept a prize, he or she forfeits all claim to that prize. Cocoa Expo then has the right, at its discretion, to award that prize to a contest runner-up. Airline tickets are valid only for the continental United States. Prizewinners and their traveling companion will be required to execute a Release of Liability prior to travel. Acceptance by the winner of the prize offered constitutes permission to use the winner's name and likeness for any lawful purpose without further compensation or permission, except where prohibited by law. Odds of winning depend on the number of Surveys received prior to the entry deadline of 11:59 p.m. on June 29, 2005 & December 30, 2005, respectively.

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