National Association of Intercollegiate Athletics

NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS

MEN’S SOCCER NATIONAL CHAMPIONSHIP

Housing Verification Form

(To be faxed or e-mailed to Kris Pursell, Palm Beach County Sports Commission, 561-233-3125 or immediately upon qualification & confirmation of official party. Please allow at least two business days to receive confirmation numbers).

INSTITUTION: ADDRESS, CITY, ST, ZIP:

COACH/CONTACT PERSON:

PHONE Work Home Cell FAX:

EMAIL ADDRESS: (This is how you will receive confirmation numbers.)

DESIGNATED HOTEL: (See next page for hotel assignments.)

BILLING INFO: Credit Card # Exp.

(Must reserve rooms with a Credit Card.)

DATE OF CHECK-IN: TIME:

# OF ROOMS NEEDED: (12 rooms are being held per team. Every effort will be made to accommodate room types needed but no guarantees can be made. Additional rooms are based on hotel’s availability. Teams do not have to use all 12 rooms.)

ROOM ASSIGNMENTS

Room Type /

Occupants

Please type the above information. Include names of participants, coaches and official party personnel only. Non-official party personnel (parents, fans, etc.) wishing to reserve rooms should refer to the Fan Hotels document on the Qualifier Packet page or visit the following website for more information: http://www.palmbeachsports.com/NAIAhotels.

Hotel Assignments

Hotel / Contact / Team Assignments (Seeds)
Embassy Suites Boca
661 NW 53rd St.
Boca Raton, FL / Carolyn Montanus
(561) 989-3966 / Davenport
Oklahoma Wesleyan
Vanguard
Indiana Wesleyan
Bellevue
Biola
Fairfield Inn
901 W. Atlantic Ave.
Delray Beach, FL / Donald Zeger
(561) 501-6357 / Rio Grande
Rocky Mountain
Lindenwood
Baker
Hyatt Place Delray
104 NE 2nd Ave.
Delray Beach, FL / Tessa Hodge
(561) 455-1953 / Missouri Valley
Southeastern
Columbia
Campbellsville
Residence Inn Delray
1111 E. Atlantic Ave.
Delray Beach, FL / Nicole Osinski
(561) 274-3210 / MidAmerica Nazarene
Holiday Inn Express Boca
8144 Glades Rd.
Boca Raton, FL / Nicole Osinski
(561) 274-3211 / Union

NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS

MEN’S SOCCER NATIONAL CHAMPIONSHIP