Indar - 2022 Stampede Cup Registration

2022 STAMPEDE CUP REGISTRATION

Hosted by Elko Indar Futbol Club

Entrance Fee $250 per team

Team Name *

(Business, Organization or Individual)

Name of Coach *

First & Last Name

E-mail *

example@example.com

Phone Number *

Area Code Phone Number

Name of Assistant Coach or Parent Captain

First & Last Name

E-mail

Phone Number

Area Code Phone Number

Mailing Address *

Street Address

Street Address Line 2

City State

Zip Code

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

U10 U12 U14 High School

Type of Team *

Girls Boys

Our team is entering enter quantity* girls teams; and enter quantity* boys teams.
Cost is $250 per team. Ex: 2 girls teams + 2 boys teams = $1000

Payment Method: *

Check, turned in today Check, will mail PayPal, 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 *