School Name: *	Athletic Directors Name:*
Head Coach*	Head Coach Mailing Address*
City: *
State: * Zip Code: *	e-mail address*
Home Phone (w/area code):*xxx-xxx-xxxx	Cell Phone (w/area code): xxx-xxx-xxxx
Secondary Contact	Secondary Contact Mailing Address
City:
State: Zip Code:	e-mail address
Home Phone (w/area code):xxx-xxx-xxxx	Cell Phone (w/area code): xxx-xxx-xxxx
Team Name #1*	Division: * 1  2
Team Name #2	Division: 1  2
Team Name #3	Division: 1  2

ONCE YOU HAVE SUBMITTED THE ON-LINE REGISTRATION FORM, PLEASE MAIL YOUR APPLICATION FEE TO:

TEAM DAYTON/DSA

Attn: ADIDAS FRIENDLIES

P.O. BOX 340148

BEAVERCREEK, OHIO 45434

FEES: $300.00 FOR ONE TEAM, $250.00 FOR SECOND AND THIRD TEAMS.

MAKE CHECKS PAYABLE TO: TEAM DAYTON/DSA

APPLICATION FEE DEADLINE: JUNE 1, 2010

   BEFORE YOU CLICK SUBMIT - All required fields filled in?
(Once the application has been submitted with all the required fields, a confirmation screen will appear with the data input.  If you do not get this confirmation screen the application was not successful.  Any issues e-mail me at info@teamdaytonsc.com and I will resolve them.)