WINTER SESSION YOUTH SOCCER 2012
TEAM REGISTRATION
8 Saturday games/start date: 1/07/12
Registration deadline: 12/22/11
Standings held and posted weekly on ASSA website.
Awards will be presented to each division champion
TEAM NAME: _______________________________________________ o Boys o Girls o Coed
Circle Team Age Group and Gender: (Age group needs to reflect age of oldest player on the team)
SPECIFY GOLD OR SILVER DIVISION PEFERENCE: ______________
LEAGUES: (If born between these dates)
U6: August 05 - July 06 U8: August 03- July 05 U10: August 01 - July 03 U12: August 99 - July 01 U14: August 97 – July 99
Team Contact Information:
Name _________________________________________________________________
Address ______________________________________________________________
City/State/Zip___________________________________________________________
Ph. ( ________ )__________________ Email Address____________________________
CELL PHONE: (_______) ____________________
$350.00 per 6v6 team on regular indoor soccer fields
$450.00 per 6v6 team on NEW (Nov 2011) indoor soccer field w/walls
$150.00 per 3v3 U6 team (Roster is limited to 6 kids)
TOTAL PAYMENT: ______________________ DATE RECEIVED: ________
(Make check payable to “All Star Sports Arena”)
IMPORTANT NOTE: Enrollment is limited. Full and final payment is due at the time of registration.
(DOES NOT INCLUDE UNIFORMS)
Each player must have a parent sign the roster/release form prior to playing.
SEND WITH ROSTER AND FULL PAYMENT TO:
Kendall Spencer / All Star Sports Arena Soccer / 1906 Cambridge St / Springdale, AR 72764
For more information call Kendall Spencer at 713-0853 or email:kendall.soccer@yahoo.com
