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Soccer Skills Entry Form
Step
1
of
27
3%
Delegation Name
*
Delegation Manager (or main Soccer Skills contact)
*
First
Last
Delegation Manager Email
*
Delegation Manager Phone Number
*
Other Phone Number
Total number of Soccer Skills Athletes
*
1) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
2) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
3) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
4) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
5) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
6) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
7) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
8) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
9) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
10) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
11) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
12) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
13) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
14) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
15) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
16) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
17) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
18) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
19) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
20) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
21) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
22) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
23) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
24) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
25) Athlete Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Gender
*
Male
Female
Event 1
*
Dribbling
Shooting
Run & Kick
Event 1 Score
*
Event 2
*
Dribbling
Shooting
Run & Kick
Event 2 Score
*
Event 3
*
Dribbling
Shooting
Run & Kick
Event 3 Score
*
Total Score
*
Total number of Coaches/Chaperones/1:1 Staff
*
Coach/Chaperone Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Role
*
Head Coach
Assistant Coach
Chaperone
Special Privilege Form ( 1 on 1 with athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Role
*
Head Coach
Assistant Coach
Chaperone
Special Privilege Form ( 1 on 1 with athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Role
*
Head Coach
Assistant Coach
Chaperone
Special Privilege Form ( 1 on 1 with athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Role
*
Head Coach
Assistant Coach
Chaperone
Special Privilege Form ( 1 on 1 with athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Role
*
Head Coach
Assistant Coach
Chaperone
Special Privilege Form ( 1 on 1 with athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Role
*
Head Coach
Assistant Coach
Chaperone
Special Privilege Form ( 1 on 1 with athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Role
*
Head Coach
Assistant Coach
Chaperone
Special Privilege Form ( 1 on 1 with athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Role
*
Head Coach
Assistant Coach
Chaperone
Special Privilege Form ( 1 on 1 with athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Role
*
Head Coach
Assistant Coach
Chaperone
Special Privilege Form ( 1 on 1 with athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
*
First
Last
Date of Birth (MM/DD/YY)
*
MM slash DD slash YYYY
Role
*
Head Coach
Assistant Coach
Chaperone
Special Privilege Form ( 1 on 1 with athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
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