2011 Viva Las Vegas Soccer Tournament Application
*Entry Deadline Jan. 15th 2011
Submit Money Orders with Application & Team Rosters to:
Viva Las Vegas Soccer Tournament
423 North Eastern Ave. Las Vegas, Nv. 89101
Team Name:__________________________________________Boys____Girls___u____
1st. div.____ 2nd. div.____ (where possible)
Head Coach:________________________________________
Phone # ____-____-_______ email______________________
address____________________________________________
City _______________________________ St._____ Zip______
Main/Emergency Contact:______________________________________________
Phone #____-____-______ email_____________________
Team History:________________________________________________________
____________________________________________________________________
Tournaments Attended:
_____________________________(record)W____ L___ T___
_____________________________(record) W____ L___ T___
_____________________________(record) W____ L___ T___
*This information will be used by the Viva Committee to assist in team placement.
Waiver of Liability: If accepted to participate in the VIVA LAS VEGAS SOCCER
TOURNAMENT, we agree to release indemnity and hold harmless the Viva Las Vegas Soccer Tournament, City of Las Vegas Soccer
Complexes, all additional locations of play and the Academy Futbol Club, officials, coaches, referees, sponsors or any other
representatives from any action brought about through claims, law suits or any type of judgemant that may arise out of any
injury, physical or monetary to the above named participants on this team. Further, we recognize and acknowledge that adverse
decisions regarding play-ability of facilities (and therefore the outcome of competition) by the Tournament Committee as Final
without objection, appeal or compensation whatsoever.
Team
Official (print)____________________________________________________
Signature______________________________________________date___________
vivalvsoccer@gmail.com (702)787-4539
Tournament Director: Nacho Luevano
