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AfroCarib Cup Team & Visa Application

Letter of Invitation From The Consulado General De Honduras

This short AfroCarib Team and Visa Application is designed from teams who want to assure they are able to attend the AfroCarib Cup in November 2005.The  "Afro-Carib Cup" an International Youth Soccer Tournament will take place from November 18-27, 2005, in La Ceiba, Atlantida, Honduras. La Ceiba is the cultural center of AfroHeritage people in Central America.   The first game will be played on Friday, November 18, 2005.   Already more than 100 teams have applied and more are coming in daily. We have devised this new short application for teams who want to ensure they are able to play in this historic tournament.

** Destination Visas Must be affixed to your passport in order for you to obtain transit visas. Please complete and send in the above application with visa fees as soon as possible. Arrangements are being made for the Embassy of Britian or Spain to affix the visas to the passports. You will receive instructions on which embassy and airline you are to use once visa arrangements are made. Because of the time constraints, please submit your visa application and fees as soon as possible to allow enough time.

This short application process is necessary due to the number of visas that need to be processed for the tournament. To use this short form - complete is, send in the team application fee and $175 per visa application for each player. 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( participation fee of $450 per player for room, board, transportation within Honduras, trophy, etc) required can then be submitted upon your acceptance. You must complete all the following and send to:

Dr. Carol Cross or Dr. Ramon Dario Argueta, CODET, Farmacia Galenica, Barrio El Morera, Frente Bazar Reyna, La Esperanza, Intibuca, Honduras, Telephone 504-783-0054 Email exportfacs@aol.com

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 RAHF 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

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3.

4.

5.

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7.

8.

9.

10.

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18.

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20.

ROSTER GIVEN TO COACH AND COACH MADE SELECTION FROM NAMES

1.

2.

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4.

5.

6.

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8.

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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.
NO, we will not provide referees. Referee Deposit will be forfeited.

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

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 the international  representative, Dr. Carol Cross at honducopa@yahoo.com.  Dr. Carol Cross, Dr. Ramon Dario Argueta, CODET, Farmacia Galenica, Barrio El Morera, Frente Bazar Reyna, La Esperanza, Intibuca, Honduras, Telephone 504-783-0054 Email exportfacs@aol.com

I include the following Fees

Item Number Of Teams Total Fees
Team ApplicationFee - US$375

Per Team

Under 15 __
Under 17 __
Under 19 __
 
Referee Deposit US$325  
VISA - Number Attending

$175 Per person

Players ____
Team Officials ________
Others ______
 

TOTAL FEES SUBMITTED

   

Team application fee US $375 Per Team

VISA Application fee of USD$175 per person

Item Cost Number Per Unit  Total Amount
Team Registration Fee $375 1 $375
Individual Participation  Fee Includes Room and Board (per person) $450 18 $8150
Coaches Room and Board 450 2 $900
Visa Application (per person) $175 22 $3850
Parents or Companions (per person) $350 2 $700
3-12 Years Old (per person) $150 0 0
Referee Deposit ( returned if you bring 3 referees) $325   $325
Coaches Participant Membership $75 2 $150
Player Participant Membership $30 16 $480
AfroCarib Cup Pre Tournament Coaching Clinics (5 days) $400 per team    
Optional Tournament Blazer $125 per player    
Total Cost      

Participation Fee Per player of US$450 per person can be paid after visa application is submitted to Ministry of Foreign Affairs and Secretary of Immigration.

Destination Visas

In Addition, Each Person Traveling Must Submit a Photocopy of Their Passport Which Will Be Used To Obtain Visas. Visas Must Be Shipped Under the Control of Consulate Or Embassy to Your Country Where They Will Be Affixed To Your Passport. For This Reason Your Application And Visa Fees Must Be Submitted As Soon As Possible!

Payment information

Option 1 - Send money through Western Union to Honduras to CODET to La Esperanza, Intibuca, Honduras (always notify us by email before sending money) 

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.  

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. 

 

FOR OFFICIAL USE ONLY - DO NOT WRITE IN THIS BOX

RECD:  TRVD: 
TRK#:  

Dr. Ramon Dario Argueta, CODET, Farmacia Galenica, Barrio El Morera, Frente Bazar Reyna, La Esperanza, Intibuca, Honduras, Telephone 504-783-0054 Email exportfacs@aol.com EMAIL honducopa@yahoo.com

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