Summer Champions Cup Team Registration Summer Champions Cup Team Registration Team Name* Team Type* 2022 2023 2024 2025 *Team must play in highest qualified division. Team Type* AA A Please Choose Level Of Play "AA" or "A" Coach Name* First Last Email* Home PhoneCell Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Team ContactIf your coach is not the team contact, please fill out the information below. Rep Name First Last Rep PhoneRep Email* How Would You Like to Pay? Check Credit Card Summer Champions Cup Credit Card Payment Options Deposit (with Full Amount due May 1st, 2021) Full Amount Includes online payment charge for credit card use. Summer Champions Cup Check Payment Options Deposit (full amount due May 1st): $500 Full Amount: $3000 Credit CardCard Details Cardholder Name Total $0.00
