The Providence Cup

Providence Cup Registration

The following information should only be submitted by the team coaches.

After registration, we will be in contact with the coaches with more information.

* indicates a required field

Please enter your team information:

* Indicates required field

Team Name *

Team Location/School Name *

Coaches, please enter your info below:

Primary Coach:

Last Name *

First Name *

DOB *

Gender *

Nametag Preference *

Mailing Address *

City *

State *

Zip *

Phone Number *

Cell Number *

Fax Number *

Coaches Email *

Secondary Coach #1(optional):

Last Name *

First Name *

Coaches Phone *

Coaches Email *

Secondary Coach #2(optional):

Last Name *

First Name *

Coaches Phone *

Coaches Email *

Team member names:

Team Member #1 *

Email *

Grade *

Team Member #2 *

Email *

Grade *

Team Member #3 *

Email *

Grade *

Team Member #4 *

Email *

Grade *

Each team can have up to 8 members. The base registration fee ($500) covers 4 team members and 1 coach. A charge of $100 for each additional team member and $75 for each additional coach will be assessed. Please enter additional team members below:

Team Member #5 *

Email *

Grade *

Team Member #6 *

Email *

Grade *

Team Member #7 *

Email *

Grade *

Team Member #8 *

Email *

Grade *

Submit