ADULT
SOCCER LEAGUE
REGISTRATION
Please circle league for which you are applying:
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Men’s
Open |
Men’s
Recreational
North & South |
Men’s
Over 30&35 |
Women’s
Division I |
Women’s
Division II & WD3 |
Open
Co-ed DI |
Co-ed
Recreational
Divisions 2&3 |
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Men’s competitive league. |
League for new or recreational male players. |
All players must be over 35 years old. Up to 3 may be 30-34. |
League for competitive women’s teams. |
League for new or recreational female players only. |
No more than 3 men per team may play at one time. |
Coed league for less experienced players. No standings kept. |
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$400/team
($350 if paid one week before start) |
$475/team
($425 if paid before deadline) |
$400/team
($350 if paid one week before start) |
$475/team
($425 if paid before deadline) |
$475/team
($425 if paid before deadline) |
$475/team
($425 if paid before deadline) |
$475/team
($425 if paid before deadline) |
Note: All leagues are “As Space Permits”. Getting an application in by the deadline does
not guarantee a spot in the league. Get your applications in early!
__________________________________ ___________________________________________
Team Name (Nombre del Equipo) League & Division Preference (Liga y Preferencia de Division)
Coach (Entrenador): ___________________________________________________________________
Address (Dirección): ___________________________________________________________________
City/State/Zip (Ciudad/Estado/Código Postal): ____________________________________________________
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#1 CONTACT
NAME:________________________
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#2 CONTACT NAME:________________________
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#1 TELEPHONE
(TELEFONO):____________________________
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#2 TELEPHONE (TELEFONO):____________________________
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#1 EMAIL
(CORREO ELECTRONICO):
__________________________________
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#2 EMAIL
(CORREO ELECTRONICO):
_________________________________
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IMPORTANT NOTE: Enrollment is limited. Full and final payment is due at the time of registration.
SEND WITH FULL PAYMENT TO:
All Star Sports Arena Soccer League/ 1906 Cambridge St / Springdale, AR 72764
For more information call Kendall Spencer at 713-0853 or email: kendall.soccer@yahoo.com
Administrative use only
Amount Paid -________________________________________________________________
Date -________________________________________________________________
Method of Payment -________________________________________________________________
Printed name of ASSA rep -_______________________________________________________________
Signature of ASSA rep -________________________________________________________________
SOCCER
ROSTER
This roster is not due with the registration form. The roster must be complete and submitted prior to the first game. Additional players can be added once the season begins, but players must read the release and sign the roster prior to the player playing. The team captain is responsible for making sure all players sign the waiver, and may be held liable for players not signing.
__________________________________ ___________________________________________
Team Name (Nombre del Equipo) League & Division Preference (Liga y Preferencia de Division)
Waiver/release: This is to certify that I assume all risks and hazards incidental to participation in an indoor soccer league, and I do hereby agree to hold harmless the staff of the AllStar Sports Arena, referees and administrators from any and all claims arising out of any injury to myself. Furthermore, this verifies that the player is up to date with his/her immunizations and is able to participate in all soccer activities. In the event of injury my permission is granted for treatment as required at the nearest medical treatment facility.
Renuncia: Esto debe certificar que asumo todos los riesgos y peligros fortuitos a la participación en una liga de interior del fútbol, y yo acuerda por este medio sostener inofensivo el personal de la arena de los deportes de AllStar y el entrenamiento del fútbol de, los árbitros y los administradores de cualesquiera y de todos demanda presentarse fuera de cualquier lesión a me. Además, esto verifica que el jugador sea actualizado con su inmunizaciones y pueda participar en todas las actividades del fútbol. En el acontecimiento de lesión mi permiso se concede para el tratamiento según lo requerido en la facilidad más cercana del tratamiento médico.
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Player Name
(Nombre del Jugador) |
Player/Parent Signature
(Parent Signature required for Players under 18)
(Firma del Jugador) |
Telephone Number
(Número de Teléfono) |
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A maximum of 16 players are allowed on the roster per team.
Un máximo de 16 jugadores es permitido en la lista por cada equipo.
