| League____________________________________________ |
| Club _____________________________________________ |
| Team _____________________________________________ |
| Email Address ______________________________________ |
| Coaching License Level (if applicable) |
PLEASE CHECK ALL THAT APPLY
| [ ] Coach | [ ] Association Administrator |
| [ ] Assistant Coach | [ ] League Administrator |
| [ ] Team Manager | [ ] Club Administrator |
| [ ] Team Parent | [ ] Volunteer |
| Last Name
___________ |
First Name
____________ |
MI __ |
Passport ID #
____________ |
| Street
Address ________________ |
City ______________ |
State ____ |
Code ___________ |
| Date of Birth _____/_____/____ | Home
Phone ___________________________________ |
| Mo Yr Yr | Business
Phone ___________________________________ |
| Coaching
License ______________ |
Referee Grade
____________ |
Gender
[ ] Male [ ] Female |
| Driver
License Number __________________ |
State | Expiration
Date ____/_____/_____ |
| 1. Background in work with youth | Position
____________ |
Year(s) |
| 2. Experience in soccer | Position
____________ |
Year(s) |
| 3. Experience in youth soccer | Position
____________ |
Year(s) |
| Have you filled out a Disclosure Form _______ Yes _______ No |
I understand that:
| a. It is the intent of the International Sports Adventure Institute, Inc., to deny certification to any person who has been convicted of a crime of violence or a crime against a person. |
| b. In applying to a International Sports Adventure Institute, Inc., position, the information which I have furnished on this form is subject to verification which may include a criminal history check. |
| c. A disclosure statement must be updated at least every two (2) years. |
| Print Name ________________________ |
| Signature _________________________ Date ___/___/____ |
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. |
Want to see this forward looking team grow? We are seeking to build our own stadium where Member/Sponsors can enjoy themselves when they come to Honduras. Become a friend and get special treatment. Email Dr. Cross at exportfacs@aol.com for more information.
Want to know more? You can get all the fun of ownership and the benefits of belonging to this world Class team by becoming a sponsor. Want to be on the field with this team? Email us at exportfacs@aol.com or honducopa@yahoo.com
Dr. Carol Cross or Dr. Ramon Dario Argueta
Barrio El Morera, Frente Bazar Reyna
La Esperanza, Intibuca, Honduras
Dr. Argueta: Telephone 504-783-0054 or 504-398-9554
Dr. Cross: 504-783-0421
 2005-2006 Honduras Soccer Team Membership & Sponsorship Available For Enrollment June 1,
2005. Make Sure You Don't Lose Your Chance. Send In
Your Deposit Now!
Belong To The Team As A Member Or Sponsor The Team As A Marketing Partner. We Promise
To Show You A |
