Jeff Ransom Indoor Soccer Classic | Dubuque, IA

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Indoor Soccer | Winter Iowa Games Registration

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Categories *

Team Registration

10U | Female - $235.00

NOTE:
As TEAM CONTACT/COACH, enter your personal info, your Team Name and Team Access Code, and pay the entry fee (if applicable). As TEAM CONTACT/COACH, you are registered. However, each GROUP MEMBER must also register for the event.

A link for the TEAM MEMBERS to register will be included in your registration confirmation email for you to forward to your TEAM. They should select the TEAM MEMBER registration category, select your team name, and enter the access code you have designated.

10U | Male/Coed - $235.00

12U | Female - $235.00

12U | Male/Coed - $235.00

14U | Female - $235.00

14U | Male/Coed - $235.00

16U | Female - $235.00

16U | Male/Coed - $235.00

19U | Female - $260.00

19U | Male/Coed - $260.00

Adult | Female | Open - $260.00

Adult | Male | Open - $260.00

Adult | Coed | Open - $260.00

Adult | Coed | Over 30 - $260.00

Team Already Registered? Options Below:

Join Team

Player Information

Setup Team Information

Team Name *

Team Access Code *

This is the access code your teammates will need to enter to join your team.
This is NOT a password or discount code. It is an access code for your team that you come up with.
We will send you an email with instructions and a member registration link that can be forwarded to your team members.

Participant Information

Team Contact Information

Contact Email *

First Name *

Last Name *

Birthdate *

Gender *

Male

Female

Country *

Street Address (w/Apt#) *

City *

State *

County *

Zip Code *

Phone *

Would you like to receive important event text alerts on this number (eg. changes or delays)?

Emergency Contact *

Emergency Phone *

Select the size of your free event apparel *

Dri-Fit Upgrade ($12.00)

Team Information

Coach's First Name *

Coach's Last Name *

Is team contact also the coach? *

Yes

Head Coach's Email *

Head Coach's Phone # *

Head Coach Birth Date *

Head Coach Cotton Shirt: *

Assistant Coach Name (1):

Assistant Coach Cotton Shirt (1):

Assistant Coach Name (2):

Assistant Coach Cotton Shirt (2):

Team Gender *

Male / Coed

Female

Team Rating *

Would you like to guarantee no Friday night games? *

Team Roster *

		First Name	Last Name	Email Address	Gender	Date of Birth	Shirt
new team member
showing 0 rows

Referee Information

Referee #1 First/Last Name:

Referee #1 Email Address:

Referee #1 Cell Phone:

Referee #1 Birth Date:

Referee #1 Age Level Comfortable Officiating:

Referee #2 First/Last Name:

Referee #2 Email Address:

Referee #2 Cell Phone

Referee #2 Birth Date:

Referee #2 Age Level Comfortable Officiating:

Waiver *

I have read and agreed to the TERMS *
Click here to view the TERMS.

Is the participant 18 or older? *

18 or older Under 18

Parent or Legal Guardian’s Signature - By providing your electronic signature you agree that you have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian.

If registering a child under 18, you are consenting to the collection of the child's information that you are providing for the purposes of registration.

Parent's signature

Payment Details

Discount or Tracking Code

Apply

Do not COPY & PASTE the code, please type it into this field.

Price

Discount (-)

Total
no handling

Processing Fee

Total Owed

Payment Method

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Visa

Mastercard

Cardholder First Name

Cardholder Last Name

Cardholder Address

Cardholder Country

City, State, Zipcode

Credit Card #

Exp. Date

CVV Code

Your payment is encrypted and 100% secure.

Payable To:
Address:

click the "submit" button to submit your order then send a check to (or pay in person at) the address above.

1. Venmo the total amount to the Phone #:
2. Make sure you enter the code, 68779 in "What's it for".
3. Click the "pay now" button.

Enter a Check Number

Enter a Check Amount

Send email receipt to the participant

Purchase Purchase Cancel

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