This Torneo Internacional Intibucana Team and Visa Application is designed from teams who want to assure they are able to attend the Torneo Internacional Intibucana in July 2005. The Torneo Internacional Intibucana "Soccer Against Global Warming", (Want to Know More About Global Warming?) an International Youth Soccer Tournament will take place from the 21st to the 31st of July 2005 in La Esperanza, Intibuca, Honduras. La Esperanza is the high mountain center of Lenca Indian people in Central America. The first game will be played on Friday, July 22, 2005. We have devised this new short application for teams who want to ensure they are able to play in this historic tournament.
This short application process is necessary due to the number of visas that may need to be processed for the tournament. To use this short form - complete it, send in the team application fee and $175 per visa application for each player. *Teams or players who are US citizens require no visas to enter Honduras. As soon as we receive these fees, we send them an official invitation from FENAFUTH, the Federation Nacional de Futbol Hondureño, the Honduran Soccer Federation.
The rest of the fees and forms required can then be submitted upon your acceptance. You must complete all the following:
Dr. Carol Cross
CODET, S de R L
Barrio El Morera, Farmacia Galencia, Frente Bazar Reyna
La Esperanza, Intibuca, Honduras
| TEAM ID #: | (Number on Coach's Pass) |
| AGE GROUP: | U- _______ |
| SEX: | [ ]
BOYS [ ] GIRLS |
| CLUB NAME: __________________ |
TEAM NAME: _______________ |
(Team name you want to appear on the schedule, as short as possible please)
CONTACT PERSON'S NAME (person who will get all mail a communications):
| Contact/Manager
Name: _____________________ |
Address: |
| City: __________________, | Zip: ___________ |
| Home Phone: ____ _____________ | Work Phone: ___ - ___________________________ |
| Cell Phone: ___ __________________________ | Fax: ____ __________________________ |
| email: ______________________ | |
(required information)
| COACH'S NAME: | Address: |
| City: , | Zip: ___________ |
| Home Phone: ____ _______ | Work Phone: ____ _____ |
| Cell Phone: ( ) ________ | Fax: ( ) ______________ |
| email: ___________________ | |
(required information)
The Tournament Committee will post a list, on the website, each week of teams entered into each tournament. If you do not see your team name on the list within two weeks of sending in your application, you should contact the State Office to verify.
According to the ISAI Risk Management Policy, Disclosure Forms must be on file for all persons working with the team to include coach, assistant coach, trainer and team manager and these individuals must have and display the blue Risk Management Badge to be on the sideline during the competition.
TEAM INFORMATION FORM
(Required for recreational and Open cup teams)
| CLUB:_____________________ | TEAM NAME:________________ |
| COACHES NAME: ____________________ | COACHING LICENSE LEVEL:__________ |
| ASSISTANT COACH NAME:____________ | COACHING LICENSE LEVEL:__________ |
| TRAINER NAME: ____________ | COACHING LICENSE LEVEL:__________ |
| HOW WERE THE PLAYERS SELECTED TO THE ROSTER? |
| ROSTER GIVEN
TO COACH 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. |
| ROSTER GIVEN
TO COACH AND COACH MADE SELECTION FROM NAMES 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. |
| CLUB TRAINING AND/OR AUDITIONS | CLUB/TEAM TRYOUTS AND SELECTION |
| NUMBER OF PLAYERS RETURNING FROM PREVIOUS YEARS TEAM: ________ of _________ |
| PLAYERS LEAGUE INFORMATION: |
| WHAT IS YOUR LEAGUE NAME:_____________________________________ |
| LEAGUE RECORD |
| WHICH FLIGHT DID THE TEAM PLAY IN: _______ OF _______ FLIGHTS |
| TOTAL NUMBER OF LEAGUE GAMES PLAYED: _____________ |
| WINS___________ LOSSES___________ TIED _____________ |
| TOURNAMENT RECORD: |
| NAME OF
TOURNAMENTS THE TEAM PLAYED IN AND RECORD: FLT; ______ PLACED ____ OF ____ TEAMS WON:____ LOST:____ TIED:___ FLT; ______ PLACED ____ OF ____ TEAMS WON:____ LOST:____ TIED:___ FLT; ______ PLACED ____ OF ____ TEAMS WON:____ LOST:____ TIED:___ FLT; ______ PLACED ____ OF ____ TEAMS WON:____ LOST:____ TIED:___ FLT; ______ PLACED ____ OF ____ TEAMS WON:____ LOST:____ TIED:___ FLT; ______ PLACED ____ OF ____ TEAMS WON:____ LOST:____ TIED:___ FLT; ______ PLACED ____ OF ____ TEAMS WON:____ LOST:____ TIED:___ FLT; ______ PLACED ____ OF ___ TEAMS WON:___ LOST:____ TIED:___ |
ADDITIONAL INFORMATION: (Please give the Tournament Committee a complete and accurate picture of the quality of the team. This information may be used in the final placement of teams in brackets. Use reverse side of this sheet if additional space is required).
To the best of my knowledge, all of the required Risk Management Disclosure Forms are on file. This information is a complete and accurate description of my team.
| Signed: _______________________________ |
| Print Name: _________________________________ |
| Position: ____________________________________ |
| Phone Number: _________________________________ |
| Email address: __________________________________ |
Application Form
| RAHF Region Name: ___________ | Team Number: 2005 - _____________ |
| Region Name: __________ | RAHF Region Number: ___________ |
| Age Division: U-________________ | Region Number: __________ |
| Boys Team_______ | Girls Team_______ |
| Uniform Color (Jerseys Only): _________________________________ | |
| Team Leader/Contact Person: ________________________________ | |
| Team Name: ______________________________________________ | ||
| Address: ______________________________ City:_________________ State:_____ Zip___________ | ||
| Phone | (Home) | (_______)______________ (Bus.) (________)_____________ |
| (Fax) | (_______)__________________ | |
| (E-Mail) | ____________________________@____________________ |
|
| (Coach information below, may be provided later.) | ||
| Coach: ___________________________________________________________ | ||
| Address:
_________________________________________________________
City:____________________________
State:_______ Zip:____________ |
||
| Phone | (Home) | (_______)______________ (Bus) (_____)____________ |
| (Cell) | (_______)______________ (Fax) (_____)____________ | |
| (E-Mail) | ____________________________@________________ |
|
| Team
Referees YES, we
will provide _______ referees. Referee Deposit will be
refunded. |
| TEAM HISTORY How long has team been organized: |
| Other
major tournaments played in the last 3 years:
_____________________________________________________ __________________________________________ |
| Honors
or awards won in the last 3 years: ____________________________________________________ ________________________________________ |
| PRIMARY
reason for attending the tournament (competition; fun;
seeing Honduras, etc.): ______________________________________________________________ ________________________________________________________________ |
| TRAVEL
INFORMATION: Arrival Date in Honduras: ___________ Departure date: _________________• Where is your team staying: ___________________________________• Contact person in Honduras: ___________________________________(Not a Coach) Phone: (_____) ____________ Cell: (_____) ____________ Team Application Fee Team Application Fee - US$375 VISA APPLICATION (Teams or players who are US citizens require no visas to enter Honduras.) |
| Name | Country of Origin | Date of Birth | Passport Number | Issuing Country | Expiration Date | Player ID Number |
Number of applicants: _________ x US$ 175.00 = US$ __________ Shipping : US$ __________ (Priority mail= $4; Second Day= $10; Next day=$15)
Total: US$
__________
[] Check enclosed [] Money Order
* Enter zero if prepaid or use my carrier account #:
_______________________ FedEx Airborne UPS DHL
Team Application Fee - US$375 per team
I include a total of $______________ in US Funds.
Honduran and international teams must send the completed application forms & entry fees to CODET, Honduras teams direct all requests for further information, applications and payment to the international representative, Dr. Carol Cross at honducopa@yahoo.com.
I include the following Fees
| Item | Number Of Teams | Total Fees | |||
| Team
ApplicationFee - US$375
Per Team |
|
||||
| Referee Deposit | US$325 | ||||
| VISA - Number Attending $175 Per person |
|
||||
TOTAL FEES SUBMITTED |
Teams or players who are US citizens require no visas to enter Honduras.
Option 1 - Send money through Western Union to Honduras to CODET to La Esperanza, Intibuca, Honduras
Option Two - Send copies of the application by certified, registered mail, or DHL with payment to CODET, S de R L, Barrio El Morera, Farmacia Galencia, Frente Bazar Reyna, La Esperanza, Intibuca, Honduras
Applications can be sent by email. However it is more secure to send APPLICATIONS ACCOMPANIED BY PAYMENT. SENDING APPLICATIONS AND PAYMENT BY DHL IS PROBABLY YOUR BEST OPTION.
Option Three - Paying By Wire Transfer
Email to honducopa@yahoo.com or exportfacs@aol.com for information on sending wire transfers.
Note that your bank will charge you a fee for making this kind of transaction. This transaction fee must be paid by the party making the transaction, and not subtracted from the amount being transferred to the AfroCarib Cup, La Ceiba Football Academy, RED de AfroHeritage Footballers, ISAI or CODET. This is for wire transfers only, do not use direct deposit because we will have no way of tracking your payment.
Option
Four - Paying Through PayPal
For All Programs In order for your team's application to be processed, a team application fee and individual visa fees of US$175 each person must be received by CODET. |
If Your Team IS NOT from the USA* In order for your team's application to be processed, team application fee and individual visa fees of US$175 each person must be received by the Torneo Internacional Intibucana "Soccer Against Global Warming". *Teams or players who are US citizens require no visas to enter Honduras. |
FOR OFFICIAL USE ONLY - DO NOT WRITE IN THIS BOX
| RECD: | TRVD: |
| TRK#: |
Dr. Carol Cross, Director, International Sports Adventure Institute, Inc., 6013 W. Monte Cristo, Glendale, AZ 85306 PH 602-564-9241 EMAIL exportfacs@aol.com
For "2005 Torneo Internacional Intibucana in Honduras email to exportfacs@aol.com
Hosted By: Liga Menor de Futbol Intibucana and Atletico Lenca Football Club, La Esperanza, Intibuca, Honduras
US and International Marketing - International Sports Adventure Institute and Soccer for Life, Inc,.
Honduras Logistics For Tournament: Atletico Lenca Football Club, La Esperanza, Intibuca, Honduras
To participate, contact Dr. Carol Cross, ISAI at exportfacs@aol.com or
Dr. Ramon Dario Argueta, Vicepresidente
Liga Menor de Futbol Intibucana
Barrio El Morero, Frente Bazar Reyna
La Esperanza, Intibuca, Honduras
Phones 504-783-0054 or Cell 504-398-9554
Subscribe
to socceragw - The yahoo list for soccer players
worldwide who wish to fight global warming through soccer gear donations and tree planting. Find out about "Soccer Against Global Warming Tournaments and Camps"Want to Know More About Global Warming? |
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| Powered by sports.groups.yahoo.com | |
Dr. Cross Can Be Reached In Honduras after July 1, 2005 Mailing Addresses after July 1, 2005 - Dr. Carol Cross, C/O Doña Aleja de Valdivieso, Barrio El Centro, La Esperanza, Intibuca, Honduras exportfacs@aol.com or honducopa@yahoo.com Telephone 504 - 783 - 0421 You May Also Contact Dr. Cross Through Doña Silvia Palencia y Hijos, Hotel La Esperanza, La Esperanza, Intibuca, Honduras Telephone 504 - 783-0068 Through Dr. Ramon Dario Argueta, CODET, Barrio El Morera, Frente Bazar Reyna, La Esperanza, Intibuca, Honduras, Telephone 504-783-0054 Email honducopa@yahoo.com The International Institute of Soccer Tourism Is Opening in La Esperanza, Honduras in September 2005. IIST Understands The Problems of Soccer Tourism in Developing Countries. IIST Supports Soccer Tourism Professionals in Central America, South America, the Caribbean Islands, Africa and Asia |
ISAI Contact Information
Dr. Carol Cross, Director , The International Sports Adventure Institute, Inc.
Supporting Soccer Based Development Through Soccer Tourism, Honduras Soccer Camps, Intibuca International Youth Tournament, AfroCarib International Youth Tournament, the Copa Weshemisphere Friendlies and the LigaAmericás Soccer Mastery Academy. AfroHeritage Soccer Players - Join the RED de AfroHeritage Footballers. AfroHeritage Soccer Players - Play in the African/Caribbean Youth Soccer Tournament in November 2005. Learn to Play World Class soccer in the La Ceiba Football Academy for Elite Players Opening in June 2005 in Honduras. Email to exportfacs@aol.com
Soccer is our Passion, Our Love, and Our Focus at ISAI. We work with Youth At Risk in Arizona and Honduras through our support for Soccer For Life, Inc, a a public charity and 501 (C) 3, tax exempt, non profit organization. Subscribe to free Soccer Mastery newsletter based on the LigaAmericás Soccer Mastery Academy opening in 2005 in La Esperanza Honduras in La Esperanza, Honduras. Send email to exportfacs@aol.com. Play in the 2nd Torneo Internacional Intibucana "Soccer Against Global Warming" in July 2005.
Home Page: www.satglobal.com/soccer_entry.htm Email to exportfacs@aol.com or honducopa@yahoo.com
Phone : Before July 15, 2005 - 602-564-9241
After July 15, 2005 - 011-504-783-0421
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