3v3 LEAGUE SUMMER SOCCER 2011
TEAM REGISTRATION
2 Saturday games/bi-weekly/ 6 games total
DEADLINE TO REGISTER: 6/3/11
First Game: 6/18/11
TEAM NAME: _________________________________ O Male O Female
Circle League:
U6 (8/1/04 – 7/31/05) U8 (8/1/02 – 7/31/04) U10 (8/1/00-7/31/02) U12 (8/01/98-7/31/00)
U14 (8/01/96-7/31/00) Men’s open 15+ Women’s open 15+
*LIMIT 6 PLAYERS PER TEAM/ GAMES PLAYED ON HALF FIELD.
Coach Name ____________________________Home Phone: (_____) ____________________
Email Address____________________________________ Cell Phone: (_____) ____________________
TEAM FEE $160
TOTAL PAYMENT: __________ DATE RECEIVED: _________
Make check payable to “All Star Sports Arena”
IMPORTANT NOTE:. Full and final payment is due at the time of registration.
Kendall Spencer/All Star Sports Arena Soccer / 1906 Cambridge St / Springdale, AR 72764
For more information call: Kendall Spencer 713-0853 Kendall.soccer@yahoo.com
Visit Allstarsportsarena.com for any & all new information on leagues!!!
3V3 ROSTER
*LIMIT 6 PLAYERS PER TEAM
TEAM NAME: ___________________________ AGE GROUP: _____________ GIRLS or BOYS
Parent/Guardian release:
This is to certify that my son/daughter has permission to participate in any and all soccer activities.
I assume all risks and hazards incidental to such participation, and I do hereby agree
to hold harmless the staff of the All Star Sports Arena from any and all claims arising out of any injury to my child. 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.
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BIRTHDATE |
GUARDIAN SIGNATURE |
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Please submit your roster prior to your first game.
