Event

Flight

Bracket

Club

Team

Colors

Alt Colors

Gender

Age

State

Travel Permission

Medical Releases

Official Roster

Team Notes

Directors Notes

Preferred Flight

Payment Method

Payment Amount

Paid

Check Number

Check Date Recieved

Confirmation Number

Application Accepted

Date Created

Date Updated

Date Accepted

Coach Name

Coach Address

Coach City

Coach State

Coach Zip

Coach Country

Coach Phone

Coach Phone(2)

Coach Mobile

Coach SMS

Coach Fax

Coach Email

Manager Org Name

Manager Name

Manager Address

Manager City

Manager State

Manager Zip

Manager Country

Manager Phone

Manager Phone(2)

Manager Mobile

Manager SMS

Manager Fax

Manager Email

Contact Org Name

Contact Name

Contact Address

Contact City

Contact State

Contact Zip

Contact Country

Contact Phone

Contact Phone(2)

Contact Mobile

Contact SMS

Contact Fax

Contact Email

Players

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To complete online application, payment must accompany application. Acceptances will not be processed until payment is received and deposited. (Note: "Acceptance of Application" indicates that the team has been forwarded to Committee for consideration; this is separate from "Acceptance into Event".)

Please note that the DESIGNATED CONTACT PERSON INFORMATION above must include a MOBILE PHONE NUMBER that will be the first number called should communication be necessary during the event. (For example, scheduling issues, weather-related problems, etc.) You can change the number on your team account before the event, but confirm that your best available phone number has been entered at this time by checking the box.

Please review the Email Address for your DESIGNATED CONTACT PERSON INFORMATION above and make sure it is NOT a corporate account, especially one that is networked (which frequently have high-level firewalls and spam filters that often block our online group messaging attempts, depriving you of critical information). Residential email services (AOL, Yahoo, Hotmail, etc.) seem to work fine with our online messaging. Please confirm that you have read and understand this by checking the box.

CheckBox4

CheckBox5

WITHDREW

57296

MEMORI

[TBA]

Bronx Youth Soccer

Tigers

Gold

Royal Blue

Boys

U19

NYE

FALSE

Most Competitive

Check/MO

$495.00

FALSE

WITHDREW

903495568

FALSE

4/11/06 1:31 PM

5/4/06 10:56 AM

Patrick Clarke

2945 Radcliff

Bronx

10469

347-602-7153

914-74406403

9144034845

914-632-4701

thankssoc@yahoo.com

BRONX YOUTH SOCCER

SHANE POWELL

4043 LOWERRE PL

BRONX

10466

7185156763

6464185634

shamill109@aol.com

Bronx Youth Soccer

Donovan Rowe

4026 Carpenter Avenue

Bronx

10466

19176936482

zukzozo@aol.com

TRUE

FALSE

57792

MEMORI

OPEN

PDA New Brunswick

Hawks

Maroon/Gray

Gray/Maroon

Boys

U19

FALSE

We are a very competitive team

Most Competitive

Check/MO

$495.00

TRUE

3277 Luis A Palacios 495

5/2/06 12:00 AM

432507765

TRUE

4/15/06 11:33 PM

5/2/06 3:11 PM

5/2/06 9:55 PM

Luis Palacios

26 Melbourne St

Edison

8817

732-339-0902

732-986-5837

Tornado0204@aol.com

PDA New Brunswick

Luis Palacios

26 Melbourne St

Edison

8817

732-339-0902

732-986-5837

Tornado0204@aol.com

TRUE

FALSE

U17B

54782

MEMORI

[TBA]

A. C. Caldo

U18B

Red

Blue

Boys

U18

False

No game conflicts between U17B and U18B Caldo Teams.

Competitive

Check/MO

495

False

Don Murphy will cut check on 4/24

536153954

False

3/23/2006 7:42:43 PM

4/22/2006 10:02:01 AM

Pieter Batenburg

49 Elephant Rock Rd.

Woodbury

06798

203-263-4217

203-768-7152

pieterbatenbury@hotmail.com

A. C. Caldo

Scott Schaake

106 High Ridge Rd.

Southbury

06488

203-262-6420

203-262-6410

203-768-3622

530-687-6453

sschaake@earthlink.net

A.C. Caldo

Don Murphy

29 David's Hill Rd.

Woodbury

06798

203-266-0515

203-228-4472

dutchsportsacademy@charter.net

True

False

52264

MEMORI

Boys U18

Bracket 1

Greater Flemington

Predators

Red & Black

White & Black

Boys

U18

False

Team is comprised mostly of Hunterdon Central High School soccer team members who were 13 - 4- 1 last season and won the Hunterdon - Warren Tournament.

Competitive

Check/MO

495

True

340 Greater Flemmington Soccer Club Pred

3/14/2006

754475843

True

3/5/2006 10:04:16 AM

4/11/2006 4:28:25 PM

3/21/2006 9:03:06 AM

Richard genovese

30 Redwood Terrace

Flemington

08822

908-788-0166

908-782-0676

908-268-8665

genospeak@hotmail.com

GFSC

William Mistretta

4 Whispering Pines Ct

Flemington

08822

908-806-7738

908-237-2435

908-361-7173

908-237-9936

wpmist@aol.com

GFSC

William Mistretta

4 Whispering Pines Ct

Flemington

08822

908-806-7738

908-237-2435

908-361-7173

908-237-9936

wpmist@aol.com

True

False

58426

MEMORI

OPEN

Jersey Knights Soccer Club

Noblemen

Red/White/Black

White/Black/Red

Boys

U18

FALSE

Most Competitive

Check/MO

$495.00

TRUE

428 Jersey Knights Noblemen 495

5/8/06 12:00 AM

183736097

TRUE

4/19/06 9:50 AM

5/8/06 8:52 AM

5/9/06 11:47 AM

Pedro Lopes

951A Village Dr East

North Brunswick

8902

973-596-5219

732-801-3252

pedro.j.lopes@njit.edu

Jersey Knights Noblemen

Manuel (Manny) Alers

302 Falcongate Drive

Monmouth Junction

8852

732-329-2296

201-863-7405

732-718-6850

201-865-5863

proactivenj@verizon.net

Jersey Knights Noblemen

Manuel (Manny) Alers

302 Falcongate Drive

Monmouth Junction

8852

732-329-2296

201-863-7405

732-718-6850

201-865-5863

proactivenj@verizon.net

TRUE

FALSE

59853

MEMORI

OPEN

Somerset Hills Soccer Club

Mountaineers

White

Red

Boys

U18

FALSE

Most Competitive

Check/MO

$495.00

TRUE

1182 Allen M Thurlow 495

5/3/06 12:00 AM

841103041

TRUE

4/30/06 10:38 PM

5/3/06 10:10 PM

5/4/06 10:54 AM

Allen Thurlow

10 Sunnybrook Road

Bernardsville

7924

908-642-2540

allenthurlow@yahoo.com

Somerset Hills Soccer Club

Allen Thurlow

10 Sunnybrook Road

Bernardsville

7924

908-642-2540

allenthurlow@yahoo.com

TRUE

FALSE

U17B

58790

MEMORI

OPEN

Winslow

3 Lions

BLUE

WHITE

Boys

U18

FALSE

I HAVE TWO TEAM THREE LIONS TEAMS. ONE IS U17 BOYS AND THE OTHER IS U18 BOYS. I WOULD LIKE TO BE ABLE TO ATTEND ALL OF THE GAMES FOR BOTH TEAMS. PLEASE ARRANGE DIFFERENT GAMES TIMES FOR THIS.

Most Competitive

Check/MO

$495.00

TRUE

453 Three Lions Soccer Academy Inc

4/30/06 12:00 AM

555105370

TRUE

4/22/06 5:53 PM

5/2/06 1:03 PM

PAUL WIMBLETON

4 FOXMORE CT

MARLTON

8053

856 810-2194

856 810-2195

609 670-2180

threelionssoccer@comcast.net

THREE LIONS SOCCER ACADEMY

PAUL WIMBLETON

4 FOXMORE CT

MARLTON

8053

856 810-2194

856 810-2195

609 670-2180

threelionssoccer@comcast.net

THREE LIONS SOCCER ACADEMY

PAUL WIMBLETON

4 FOXMORE CT

MARLTON

8053

856 810-2194

856 810-2195

609 670-2180

threelionssoccer@comcast.net

TRUE

FALSE

U18B

54780

MEMORI

[TBA]

A. C. Caldo

U17B

Red

Blue

Boys

U17

False

There can not be game conflicts between U17B and U18B. Best Regards,

Competitive

Check/MO

495

False

Don Murphy will cut check on 4/24

659141981

False

3/23/2006 7:40:46 PM

4/22/2006 10:02:01 AM

Pieter Batenburg

49 Elephant Rock Rd.

Woodbury

06798

203-263-4217

203-768-7152

pieterbatenbury@hotmail.com

A. C. Caldo

Scott Schaake

106 High Ridge Rd.

Southbury

06488

203-262-6420

203-262-6410

203-768-3622

530-687-6453

sschaake@earthlink.net

A. Caldo International

Jim Abromitis

213 Lautern Park N

Southbury

06488

203-264-7551

theabros@aol.com

True

False

58558

MEMORI

OPEN

Beachwood SC

United

maroon/black

white/white

Boys

U17

FALSE

Application Rev

Most Competitive

Check/MO

$495.00

TRUE

124 Eric J Weltner 495

5/5/06 12:00 AM

574256879

TRUE

4/20/06 12:47 PM

5/5/06 9:31 PM

5/6/06 11:19 PM

alan martin

317 pacific ave.

beachwood

8722

732-349-5221

908-910-9109

apic4@aol.com

beachwood soccer club

eric weltner

907 washington street

toms river

8753

732-505-1662

732-267-3235

732-505-8949

wadell661@cs.com

beachwood soccer club

eric weltner

907 washington street

toms river

8753

732-505-1662

732-267-3235

732-505-8949

eweltner17@comcast.net

TRUE

FALSE

57659

MEMORI

Boys U17

Bracket 2

Bronx Youth Soccer

Arsenals

Gold

Royal Blue

Boys

U17

NYE

FALSE

Competitive

Check/MO

$495.00

TRUE

489 Bronx Youth Soccer League, Inc 895

4/21/06 12:00 AM

673867577

TRUE

4/14/06 9:20 PM

4/21/06 7:07 PM

4/21/06 10:07 PM

Shane Powell

4043 Lowerre PL

Bronx

10466

6464185634

shamill109@aol.com

BRONX YOUTH SOCCER

SHANE POWELL

4043 LOWERRE PL

BRONX

10466

7185156763

6464185634

shamill109@aol.com

Bronx Youth Soccer

Robert Broomfield

140 Edgar PL

Bronx

10475

917 821 0250

robroomfield@aol.com

TRUE

FALSE

52910

MEMORI

Boys U17

Bracket 2

Clifton Stallions

Stallions

Royal Blue & blac

red & black

Boys

U17

False

Most Competitive

Check/MO

495

True

2133 Clifton Stallions SC, Inc 495

3/10/2006

300616896

True

3/9/2006 11:07:37 AM

3/21/2006 9:03:06 AM

Marino Marco

151 Roosevelt Avenue

Clifton

07011

973-478-4739

201-662-3961(beeper)

cell 973-248-7121

Pioneer830@optonline.net

Clifton Stallions

Marino Marco

151 Roosevelt Avenue

Clifton

07011

973-478-4739

201-662-3961(beeper)

Pioneer830@aol.com

Clifton Stallions

Marino Marco

151 Roosevelt Avenue

Clifton

07011

973-478-4739

201-662-3961(beeper)

cell 973-248-7121

Pioneer830@optonline.net

True

False

57553

MEMORI

Boys U17

Bracket 2

GAK

Gunners

black

gold

Boys

U17

FALSE

this is a new team

Competitive

Check/MO

$495.00

TRUE

1004 GAK Gunners 495

4/21/06 12:00 AM

189076215

TRUE

4/13/06 9:45 PM

4/21/06 7:07 PM

4/21/06 10:08 PM

joe moffat

6 roseville la

yardville

8620

609-259-0143

609-947-3403

soccermoff@optonline.net

GAK Gunners

Ross Hart

2 sams way

trenton

8620

609-291-0986

609-516-8197

609-737-0343

ross8954@aol.com

TRUE

FALSE

57682

MEMORI

OPEN

Harleysville Soccer

Hurricanes

Blue/Red

Gray/Red

Boys

U17

PAE

FALSE

Most Competitive

Check/MO

$495.00

TRUE

6310 Thomas C Heckman 495

4/30/06 12:00 AM

195564049

TRUE

4/15/06 8:27 AM

4/30/06 10:00 PM

5/2/06 1:22 PM

Tom Heckman

208 Shady Nook Hill Road

Harleysville

19438

215-256-6926

215-450-9563

215-513-1045

tomheckman@harleysvillesoccer.org

Harleysville Soccer Assocation

Lew Wigod

1812 Webster Lane

Maple Glen

19002

215-646-6165

215-896-1682

desidata@comcast.net

Tom Heckman

208 Shady Nook Hill Road

Harleysville

19438

215-256-6926

215-450-9563

215-513-1045

tomheckman@harleysvillesoccer.org

TRUE

FALSE

54669

MEMORI

Boys U17

Bracket 1

Jersey Knights

Imperials

Red

White

Boys

U17

False

Most Competitive

Check/MO

495

True

1153 Jersey Knights Imperials 195

3/30/2006

238695204

True

3/22/2006 9:46:02 PM

3/30/2006 4:44:17 PM

3/30/2006 9:38:13 PM

Javier Velasco

NJIT - University Heights

Newark

07102

732-887-3438

973-596-5226

732-887-3438

velasco@ADM.NJIT.EDU

Jersery Knights

Doug Fantuzzi

29 Gunther Loop

Somerset

08873

732-873-7460

732-735-0317

dfantuzzi@vtext.com

dfantuzzi@patmedia.net

Jersey Knights

Doug Fantuzzi

29 Gunther Loop

Somerset

08873

732-873-7460

732-699-4454

732-735-0317

dfantuzzi@vtext.com

732-336-2423

dfantuzzi@patmedia.net

True

False

58519

MEMORI

Boys U17

Bracket 1

Montclair

Hurricanes

Blue

White

Boys

U17

FALSE

The Hurricanes played in the Fall 2005 MAPS College Showcase, Won 3 Lost 0. (Failed to play our fourth game because opponent left the tournament.

Most Competitive

Check/MO

$495.00

TRUE

1721 James Hartnett 495

4/25/06 12:00 AM

609419029

TRUE

4/20/06 12:24 AM

4/25/06 2:50 PM

4/26/06 2:13 PM

John Scott

9 Harding Rd.

W. Caldwell

7006

973-228-8901

973-301-4052

201-704-6567

860-392-6530

j.scott96@verizon.net

Montclair United

Jim Hartnett

15 Woodstone Dr.

Cedar Grove

7009

973-714-5528

973-571-9582

973-714-5528

973-571-2033

jhart4323@aol.com

Montclair United

John Scott

9 Harding Rd.

N. Caldwell

7006

973-228-8901

973-301-4052

201-704-6567

860-392-6530

john.scott@hartfordlife.com

TRUE

FALSE

57544

MEMORI

OPEN

MSA United

white shirts--- whit

blackshirts--- blac

Boys

U17

PAE

FALSE

Most Competitive

Check/MO

$495.00

TRUE

10930 Montgomery Soccer Association 495

5/3/06 12:00 AM

392068260

TRUE

4/13/06 6:09 PM

5/3/06 10:10 PM

5/4/06 10:53 AM

Paul Duddy

289 Fortuna Drive

Hatfield

19440

2153680720

2674813418

celticduds@aol.com

MSA United

Lew Canouse

31 Norristown RD

Blue Bell

19422

2152835064

6109643670

6102831035

wrestl126@aol.com

MSA United

Lew Canouse

31 Norristown RD

Blue Bell

19422

2152835064

6109643670

6102831035

wrestl126@aol.com

TRUE

FALSE

51850

MEMORI

Boys U17

Bracket 1

Pasco NJ Stallions

88-89 Boys

NAVY NAVY

WHITE NAVY

Boys

U17

False

Most Competitive

Check/MO

495

True

2139 Luis P Viola 495

3/21/2006

386323988

True

3/2/2006 5:51:12 AM

4/23/2006 5:00:50 PM

3/21/2006 9:03:29 AM

LUIS VIOLA

371 MADISON AVE

CLIFTON

07011

9737605788

NONE

OSTUN@AOL.COM

PASCO NEW JERSEY STALLIONS

LUIS VIOLA

371 MADISON AVE

CLIFTON