MICHIGAN
Soccer Association
Member of the U.S.
Pete Dedvukaj, MSA Cup Commissioner: 211 W. Congress Ste.310,
Phone: 586 453-4638 E-Mail: [email protected]
Gerhard Mengel
State
Check One:
Open Cup (Men) 
Open
Cup (Women)
Over Thirty Cup (Men) Over Forty Cup (Men) Over Thirty Cup (Women)
Entry
Fee: $50.00 for all Cups Entry
Deadline: May 1, 2006
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PLEASE NOTE:
1. Entries must be in the hands of the Cup Commissioner not later
than
2. There must be at least four entries in any category to merit a
state cup competition.
3. To be eligible players must be registered not less than seventy-two
(72) hours prior to that game.
4. Team Rosters are frozen seventy-two (72) hours prior to the
finals.
5.
All players in the age defined cupps must be of the specified age as of
the date of the game.
6.
Failure to the field team as schedduled shall be subject to sanctions
and/or fines.
7.
Players may not participate with two teams in the same competition.
8.
Game scores must be reported by tthe home team within 48 hours to the
Commissioner
9.
All decisions of the Cup Commissiooner are final.
10.
Referee fees are $140; each team ppays half.
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Please type or print legibly.
Team
Name: _________________________________ League Affiliation: __________________________
Team
Colors (Primary)
Team
Colors (Alternate)
Home
Field Name: __________________________________________________________
Home
Field Location: _______________________________________________________________________
Home Team is responsible for
providing the field and must provide a map to Commissioner and each opponent.
Name of Team Manager (please
print): _________________________________________________________
__________________________________________________________________________________________
Street Address City State Zip
(______ ) _______ -______________ (_______ ) _______ -_______________
Home
Phone Business
Phone
(______ ) _______ -______________
Fax No.:
Home or Business (Please
check applicable boxes) E-Mail
Address: Home or
Business
Signature:_____________________________________________ Date: ________________________