Iowa State Council

Knights of Columbus

www.iowakofc.org

**** DISTRICT LEVEL SOCCER CHALLENGE REPORT ****

PLEASE SEND THIS FORM AND THE SCORE SHEETS OF THE TOP 3 CONTESTANTS FOR BOTH BOYS AND GIRLS TO THE REGIONAL CONTEST DIRECTOR

(SEE LIST OF REGIONAL SITES)

DISTRICT LEVEL HELD BY SEPTEMBER 28th. FORMS DUE OCTOBER 1st.

ALSO, PLEASE SEND COPY OF THIS FORM TO:

District #______Region #______

1st PLACE WINNER ADVANCES TO REGIONAL COMPETITION – 2nd AND 3rd ARE SUBSTITUTES

Please print the names clearly. We need to have the names written so we can read them.

BOYS AGE 9 BOYS AGE 12

1st PLACE 1st PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

2ND PLACE 2ND PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

3RD PLACE 3RD PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

BOYS AGE 10 BOYS AGE 13

1st PLACE 1st PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

2ND PLACE 2ND PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

3RD PLACE 3RD PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

BOYS AGE 11 BOYS AGE 14

1st PLACE 1st PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

2ND PLACE 2ND PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

3RD PLACE 3RD PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

(OVER)

Iowa State Council

Knights of Columbus

www.iowakofc.org

GIRLS AGE 9 GIRLS AGE 12

1st PLACE 1st PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

2ND PLACE 2ND PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

3RD PLACE 3RD PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

GIRLS AGE 10 GIRLS AGE 13

1st PLACE 1st PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

2ND PLACE 2ND PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

3RD PLACE 3RD PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

GIRLS AGE 11 GIRLS AGE 14

1st PLACE 1st PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

2ND PLACE 2ND PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______

3RD PLACE 3RD PLACE

NAME/COUNCIL______NAME/COUNCIL______

AREA CODE & PHONE______AREA CODE & PHONE______