1. No category

Patriots Cup – Tournament Information and Application
When:
Where:
Hosted By:
May 30th and 31st, 2015
Conejo Creek, Thousand Oaks, Ca. (Off The 23 Fwy, Janss Road Offramp)
AYSO – AREA 10 E (Serving the regions of Malibu, Agoura-Westlake, Thousand Oaks, Newbury Park,
Moorpark and Simi Valley)
The Patriots cup is an AYSO invitational tournament open to AYSO Tournament/ Select teams in Girls and Boys Divisions U14, U12
and U10. The tournament is intended to be fun for all involved (players, coaches, spectators, referees and organizers) and will also
celebrate our countries heritage and patriotism.
Teams are guaranteed a minimum of 3 games in this event. Pool play will determine whether your team will be seeded in the trophy
flight or whether you will receive a medal for your participation in this tournament. At tournament check-in all participants (players
and 2 coaches) will receive a tournament pin and T-shirt commemorating their participation in this special event.
Game format per division will be 11 v 11 for U14, 9 v 9 for U12 and 7 v 7 for U10. Maximum number of players: 15 per team in
U14, 12 per team for U12, and a maximum of 10 per team in the U10 divisions. The date of age determination is July 31st, in
accordance with AYSO National Rules and Regulations.
Tournament Fee:
The entry fee is $525 for U14, $500 for U12 divisions and $475 for U10. There will be no referee deposit required as referees will be
by invitation only. As each referee will receive special recognition for his or her involvement in this tournament, we are asking you to
nominate the referees that have helped your team in other tournaments for consideration. The above fees must accompany all
applications for entry consideration. No refunds will be given within 30 days of the tournament (After April 30, 2015) for a voluntary
withdrawal by your team once accepted unless a replacement team is found. Each withdrawal situation will be handled on an
individual basis. If the tournament is canceled a full refund will be given. Teams that are not accepted will receive a full refund
within 48 hours of the entry deadline unless that team would like to be placed on a wait list.
Only Regional Checks will be accepted as payment for this event.
Tournament Entry:
Application forms, fees, referee nomination forms and eAYSO jersey order player rosters must be submitted to the tournament
registrar. No telephone registrations will be accepted. Applications should be received on or before April 30th, 2015. If more
applications are received than available openings in a division, teams will be chosen by the tournament committee in order to provide
a balance amongst teams participating. Only correctly, fully completed applications with all applicable forms and fees paid will be
considered. Partial or incomplete forms or applications without fees paid will be returned to applicants.
Late Player Changes: Roster changes can be made up until 24 hours before tournament Any roster changes will
require an updated roster, such changes must contain the signature of the player’s Regional Commissioner. No
exceptions.
For Complete Rules Please refer to the rules of the tournament
Information: Contact [email protected] or the Area E web site at www.aysoarea10e.org
Phone # (805)341-3095 Tournament Director
(805)529-2411 Registrar
(805)410-4333 Area Director
Teams will not be considered for acceptance until we have received the following items properly, fully, clearly completed
and signed by all appropriate parties:
Application
eAYSO Jersey order Roster
Referee Nomination Form
Tournament Fees
Mail the above items with Region Check made payable to “AYSO Area 10E.”
Tournament Fees are U19/U16/U14 - $525 U12 - $500, U10 - $475, No Referee Deposit Required.
Send Check and application to: Lisa Viescas, Tournament Registrar
12954 View Mesa
Moorpark Ca. 93021
Registration Questions? Call (805)529-2411 or e-mail us at [email protected]
Patriots Cup – Tournament Application
AYSO Region No:
Region Name:
Age Division: (Check One)
U10
Coach Last Name____________________________
U12
U14
Girls
Boys
Uniform Color___________________________Team Name_____________________________________________
Coaches Information
PRINT/TYPE CLEARLY
Asst. Coaches Information
Last Name:_________________________________________
Last Name_________________________________________
First Name:________________________________________
First Name_________________________________________
AYSO ID#________________________________________
AYSO ID#_________________________________________
Certification Level__________________________________
Certification Level___________________________________
NEW Safe Haven Date_______________________________
NEW Safe Haven Date_______________________________
E-mail____________________________________________
E-mail____________________________________________
Address___________________________________________
Address___________________________________________
___________________________________________
____________________________________________
Best contact phone # (______)_________-_________
Best contact phone # (_____)__________-__________
Team Rating Criteria: Please answer ALL Questions 1 thru 7
1.) Check one. Our Tournament Team is comprised mostly of: Primary______ All-Star ______EXTRA _______players.
2.) If your region has more than one team in your division, where does your team rank? _______ of _______ teams.
3.) How many players do you have of each?
a. Number of players who played on a Primary League team ONLY(not on an All-star/EXTRA team).______
b. Number of players who played on an All-star team (Primary League AND on an All-star team). ______
c. Number of players who played on an EXTRA League team ______
d. a.+b.+c.= Total number of players ______
4.) Does your Region have an All-Star Program team in your division. Yes_______ No________
5.) Does your Region have an EXTRA Program team in your division. Yes______ No _______
6.) Looking at our eAYSO jersey order roster we have (write the number of) _______ Younger and ______ Older players.
7.) How would you rate your teams level of play on a scale of 1 – 10, (1 being low and 10 being high)? ________
T-Shirt Order
One T-Shirt for each player and one each for the coach and asst. coach is included in the application fee.
How Many Shirts of each size do you need? AXL______AL______ AM______AS______ YL______
Roster must be an eAYSO generated roster in Jersey Order ONLY
An eAYSO Team Tournament Roster sorted by Jersey number order and signed by the team’s Regional Commissioner is the only
acceptable roster for the 2013 Patriots Cup. Rosters must show the Coach and Assistant Coach certified at the required level of ageappropriate training or higher and their NEW Safe Haven completion date. If you bring Guest Players, please attach the Guest Player
form to the EAYSO Team Tournament Roster. Max Number of players: U10-10 players, U12-12 players , U14-15players U16/19 – 21
players
Regional Commissioner Approval: Yes, the above team has my permission to attend the Patriot Cup Tournament.
Print Name
Email:
RC Signature (in red or blue ink only, please)
Best Phone:
Head Coach Signature Yes, I have read the tournament rules and I promise to abide by them.______________________________
Head Coach Signature
Patriot Cup – Guest Player Form
Borrowing Team Information:
Region:
Roster Date:
Team Name:
Coach Name:
Age Division:
U-10
U-12
U-14
U16
U19
Boys Girls
Patriots Cup rules allow teams to bring up to 3 “Guest Players” when they are unable to recruit sufficient players
from their own region. These Guest Players must be properly registered AYSO players who were registered to
play in their home region for the 2013 primary season and have played in at least 50% of their League games.
(List In Order By Uniform Shirt No.)
Shirt
#
Region
#
Player ID #
Player’s Name
Last, First (please print)
Age
Date of
Birth
Telephone
Including Area Code
By my signature below, I certify that all players on this roster are valid registered players in my region and are
approved to join the above team and participate in this tournament:
Guest Player(s) Regional
Commissioner:
Print Name
Signature (Red or Blue Ink)
Best
Phone:
Email:
By my signature below, I approve that these
(number of players) guest players are
approved to join the above team and participate in this tournament:
Host Team Regional
Commissioner:
Print Name
Signature (Red or Blue Ink)