Target United Cup (Recreational) - Max Rodes Park
Hosted by Brevard Youth Soccer League, Melbourne, FL

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Coach/Manager Name

Email

Cell Phone Home Phone

Club Name Team Name

Age Group Gender Level of Competition

City State

My team is travelling from out of town and will need to be on a tournament housing plan

Please list any special requests below.

I certify all information above is true and accurate. I understand this application is not complete until payment is received by the tournament director.