The Q-META Cup Entry Form

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The Q-META Cup Entry Form TEAM NAME:________________________

Circle division:

Jersey #

Coach(es)_________________

Men's U14 Open (2002, 2003)

Women's U14 (2002,2003)

Men's U16 Open (2000,2001)

Women's U16 (2000,2001)

Men's U18 Open (1998,1999)

Women's U18 (1998,1999)

U18 Men's Elite (1998 or later)

U18 Women's Elite (1998 or later)

Player Name

Birth Year

1)___________________________________________________ 2) _______________________________________________________________ 3)________________________________________________________________ 4)________________________________________________________________ 5) _______________________________________________________________ 6)________________________________________________________________ 7) _______________________________________________________________ 8) _______________________________________________________________

9) _________________________________________________________________ 10) ________________________________________________________________ 11) ________________________________________________________________ 12) ________________________________________________________________ I,_______________________, coach of the______________________________7s team by signing this document confirm that all the information contained herein is true and accurate: ____________________________________ Date: __ _________________________ (COACH'S SIGNATURE)