Governors Cup Team Entry Form

The Governor's Cup Invitational Soccer Tournament

Sunflower Soccer Association

P.O. Box 750194

Topeka, Kansas 66675

(785) 233-9700 Fax (785) 233-0135

Referee
Registration
Form

Please complete the information on this page. Mandatory information is shown in RED.

Thank you for your interest in refereeing the Governor's Cup Invitational Soccer Tournament

First Name: Last Name: Day/Cell Phone:

Address: Evening Phone: Fax Number:

City: State: Zip Code: E-Mail:

Badge level: Age: Shirt Size:

I am available to work on these days at these times (Please select your preferences)

First Weekend (Girls Competitive)
Saturday: All Day AM Only PM Only Sunday: All Day AM Only PM Only

Second Weekend (Boys Competitive and Boys / Girls Recreational)
Saturday: All Day AM Only PM Only Sunday: All Day AM Only PM Only

Game Level Preference - Please check as many as you desire, but be honest

Center: U 9-U10 U11-U12 U13-U14 U15-U19

Lines: U 9-U10 U11-U12 U13-U14 U15-U19

Will you be playing on a team at any time during this tournament? Yes No

If yes - Team Name: Division: Boys Girls Age Group: U-

Coach's Name:

Please provide any comments you have, especially those that will help us schedule you to referee during this tournament. Please understand that all requests will be reviewed but may not be able to be accommodated.