2010 Fort Wayne Invitational Hosted by FW USA Citadel FC Tournament Check-In Form

Team Name: ___________________________________________________ Age Group: ______________________ Boys ____ Girls______ _______ Official State Roster _______ Player Passes _______ Guest Player Forms (Maximum of 3) _______ Travel Permit (for teams from outside Indiana) _______ Medical Forms for Each Player

(If no form, player may not play. Medical form must be brought to headquarters tent 1 hour before 1st game.)

_______ Liability Release Form (Signed by all parents) _______ Pick-up Preordered T-Shirts _______ Revisions to schedule included ________________________ Manager/Coach’s Signature Contact Information (In event of last minute changes) Contact Person __________________ Contact Person __________________

Coach/Manager _________________ Coach/Manager _________________

Hotel _______________ Rm#______ Hotel _______________ Rm #______

Cell # _________________________ Cell # _________________________