MDCVSA 2021 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

Women's and Coed will take place on Nov 13-14, 2021, in Virginia Beach, VA
Hosted by SEVWSA (Southeastern Virginia Women's Soccer Association)
DEADLINE is COB October 29

Mens Open, Over 30 and Over 40 will take place on Dec 11-12, 2021, in Richmond, VA
Hosted by CVSA (Central Virginia Soccer Association)
DEADLINE is COB November 26

Tournament format will be finalized after the registration deadlines

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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