FPS JR Division Each JR Division Team must be registered by Thursday, November 5th. School(Required)Please do not abbreviate the name of the school. A school may enter multiple teams from the same school, but you must complete a different registration form for each team entered. Date of entry MM slash DD slash YYYY School Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School Phone(Required)Coach Name(Required)Coaches are reminded to receive the school principal's permission to register a team in JR Division. First Last Coach Email(Required) Coach Cell Phone(Required)Enter Cell Number in Case of EMERGENCYCoach Certification Number (available online at kaac.com)(Required)Enter 00000 if number is not available at the time the JR Division Registration Form was completed. Evaluator Name(Required)Coaches may evaluator for JR Division First Last Evaluator Email(Required) Evaluator Cell Phone(Required)Enter Cell Number in Case of EmergencyEvaluator Certification Number (available online at kaac.com)(Required)Enter "Pending" if number is not available at the time the JR Division Registration Form was completed. Team Name: Example: Governor's Cup Middle School-Team Red(Required)If you are coaching more than one (1) JR Team, you must identify the name of the team by the school name followed by the additional entry such as the example: Team Red. Student Names (A minimum of 4 students in 4th-6th grades must be entered.)(Required)Please list up to 8 students in alphabetical order by last name for this team. Include first and last name. (ex. Brenda Darnell, then add new row, Brad Persinger) Add RemoveHost for JR Division on December 8th--Select one choice(Required)I can host other teams in my area at my schoolI can only host my team/s at my schoolFee and Payment InformationEmail Cindy Clark, [email protected] for payment inquiries.Payment Information (KAAC will invoice educational institutions) ONLY(Required)$50 per team -- Invoice numbers will be generated by the registration form if paying by credit card. If sending in a PO or paying by check, an invoice number will be generated in the office. Pay by CheckInvoice my SchoolInvoice my DistrictPurchase Order Number School or Board Name Δ
