Austin Fall Cup Registration

Please complete the following form to register your team for the 2010 Austin Fall Cup.  Once you have completed the form, you can click on the button below the form to make your secure online registration fee payment.  The $350 "Early Bird" registration fee ends October 20, 2010.  After that date, the regular $400 registration fee must be paid.

* required fields

Team Details
*Team Name:
Captain/Manager
*Captain / Manager Name:
 Address:
 City:
 State:
 Zip:
*Home Phone:
 Work Phone:
 Cell Phone:
*Email Address:
Coach/Alternate Captain
*Coach / Alternate Name:
 Home Phone:
 Work Phone:
 Cell Phone:
 Email Address:
Current League Details
*League Affiliation:
*State Association:
 # of Divisions in League:
*Current Division:
Team Colors:
Primary Colors  
*Jersey:
 Shorts:
 Socks:
Alternate Colors  
*Jersey:
 Shorts:
 Socks:
Division Requested
  Premier
Second
Third (Rec)
Over 30
Over 40
Comments

The 2010 Austin Fall Cup "Early Bird" registration fee is $350.00.

Please click on the button below to make your secure online payment via Check, Credit Card or PayPal account.