Benton Invitational Registration
Email address *
December 21, 2019
This competition is an ICCA Qualifier for the ICCA Championships in Springfield on January 11 and January 12, 2020.
Coach's Email Address (Please note this is used to send a response email for your records.) *
Your answer
Coach's Name *
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Coach's Cell Phone Number *
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Assistant Coach's Name *
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Note: If the school does not receive registration payment by Wednesday prior to competition, coach is required to produce payment via cash or check before team takes the floor. (Host coach will contact you if payment was not received.) *
Required
School Name *
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Team Mascot *
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Team Colors *
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Team Division *
Number of Athletes Competing *
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Number of Coaches (maximum of 4) *
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Member of ICCA *
Required
Fees for Members $125; Late Fees for Members $150; Fees for Non-Members $175; Late Fees for Non-Members $200. Fees are late if registration is not filled out by Wed. Dec.18th by midnight. This form is timestamped so the host coach will have the date and time of each registration. *
Required
Fees should be received by Benton High School by December 18.
SEND FEES TO:
Linda Smith
11344 Jordan Creek Road
Benton, IL 62812
Any questions, please contact Linda Smith at lsmith@bentonhighschool.org or by phone at 618-923-4223.
Co-Sponsored with the Illinois Cheerleading Coaches Association
A copy of your responses will be emailed to the address you provided.
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