MDCVSA 2022 State Cup Entry Form

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Cost to enter is $350.00 per team and checks made payable to MDCVSA should be sent to:
MDCVSA
c/o MaryBeth Falk, State Administrator
1357 Carolyn Drive
Virginia Beach, VA 23451

OR we offer ZELLE, contact mdcvsa.info@gmail.com, for that info

Games to be played in Richmond VA, over 2 weekends, Jan 21-22, and Jan 28-29, 2023
It will be hosted by CVSA (Central Virginia Soccer Association)

DEADLINE is COB December 16, 2022
*Tournament format will be finalized after the registration deadline*

Email *

Team Name *

League Name *

Primary Team Contact Name *

Primary Team Contact Phone (#'s) *

Alternate Team Contact Name *

Alternate Team Contact Email *

Alternate Team Contact Phone (#'s) *

Division *

Men's State Cup: open competition for all players & teams

Men's Challenge Cup: competition for all 30+ (born 1989 or before) players & teams

Men's Veterans Cup: competition for all 40+ (born 1979 or before) players & teams

Women’s State Cup: competition for all women’s players & teams

Coed State Cup: competition for all coed teams

Required

Uniform Colors- Primary (Shirts/Shorts/Socks) *

Uniform Colors- ALTERNATE (Shirts/Shorts/Socks) *

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