Indar - 2023 Gold Cup Registration

2023 GOLD CUP REGISTRATION

Hosted by Girls & Boys Elko Indar Futbol Club Teams

Entrance Fee $475 per team
Team Name*
(Business, Organization or Individual)
Name of Coach*
First & Last Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Name of Assistant Coach or Parent Captain
First & Last Name
E-mail
Phone Number

Area CodePhone Number
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Age Group - Select all age groups in which you'd like to register:*

U8U10U12U14High School
Type of Team*

GirlsBoys
Our team is entering enter quantity* girls teams; and enter quantity* boys teams.
Cost is $475 per team. Ex: 2 girls teams + 2 boys teams = $1900
Payment Method:*

Check, turned in todayCheck, will mailPayPal, click link on elkoindar.com
Mail Check Payments to:

PO BOX 2541 - Elko, NV 89803

Reference: Stampede Cup
Authorizing person's signature*
Your typed name confirms your e-signature of this donation/registration.
Please verify that you are human*
Should be Empty: