Challenge Cup Application – Peterborough City Soccer Association

Team Entry Form

U13 to U18 Divisions – Entry Fee: $500

Peterborough Challenge Cup for Girls – June 3-4, 2023

Peterborough Challenge Cup for Boys – June 17-18, 2023

Please fill in the details below, choose your Payment Method, correctly answer the skill-testing question and press the SUBMIT button. You will receive an e-mail to confirm your application. Please check your Spam/Junk folder if you do not see the e-mail in your Inbox.

Payment options: e-transfer is the preferred payment method. PCSA teams are prepaid.

Select Tournament, Age and Division

Select Tournament:

Select Age:

Preferred Division:

Please note that assignment to Tier 1 or Tier 2 will be at the discretion of the tournament chair and will depend on the number of registered teams. U16 and older age groups will have only one division.

Team Information

Club Name:

Team Name:

District:

2023 League:

League Level/Tier:

Primary Team Contact

Name:

Email:

Phone:

Cell:

Alternate Team Contact

Name:

Email:

Phone:

Cell:

Accept Terms

Visiting teams must submit a travel permit (ATF) approved by their District Association no later than two weeks prior to the tournament.

The applicant acknowledges jurisdiction of FIFA, CS, OS and our District Association with regard to this competition and agrees to abide by the Published Rules of these organizations.

I have read and agree to abide by the Tournament Rules.

I have read and agree to abide by the PCSA Payment and Refund Policy.

I ACCEPT THESE TERMS

Additional Information

Please enter any additional background information you wish to add:

Select Payment Method:

When you select to pay by Credit Card or PayPal your browser will open a secure PayPal portal after you press SUBMIT APPLICATION. You do not need an existing PayPal account, nor do you have to create one, in order to pay by credit card.

To pay by credit card (Visa, MasterCard, AmEx) enter your payment card details and click on Pay Now at the bottom of the PayPal page
To pay from your existing PayPal account type in your account details and press Log In.

Please send an e-Transfer for the entry fee within 24 hours to the following email address:

The recipient will automatically be indicated as Peterborough City Soccer Club and a security question is not required.
Write you name, club and team name in the 'Message' area of the e-transfer form.
Please note that your application will not be processed until payment is received. Payment must be received before the application deadline.

Please mail or drop off your cheque at the address below. Please note that your application will not be processed until payment is received. Payment must be received before the application deadline. Please do not postdate your cheque.

Review Details and Submit Your Application

Please review your information and ensure that you have accepted all the terms before clicking on the Submit Application button.

To prevent misuse, please type 4-digits of current year?

You will receive an email from the tournament chair to confirm your team registration. When you complete the e-transfer you will receive a separate email from your bank to confirm payment. Please check your Spam/Junk folder if you do not see the e-mails in your Inbox.

Teams that withdraw before the entry deadline will receive a full refund less a $50 administration charge. Teams that withdraw after the deadline will forfeit the full amount of the entry fee.

Peterborough City Soccer Association
Challenge Cup
171A Rink Street, Suite 114
Peterborough, Ontario. K9J 2J6

Email: tournament @ pcsasoccer.com
Website: www.pcsasoccer.com