YOUTH RECREATIONAL SOCCER LEAGUE
TEAM REGISTRATION
FALL 2011
REGISTRATION DEADLINE: 9/05/11
First Games: 9/17/11
(6 Saturday games)
TEAM NAME: _______________________________________________
SCHOOL 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)
LEAGUES: (If born between these dates) U5: August 2006 - July 2007 U6: August 2005 - July 2006 U8: August 2003- July 2005 U10: August 2001 - July 2003 U12: August 1999 - July 2001
· U5 and U6 play 3v3 on half a field. U8 & up plays 6v6 on the full field.
Roster sizes are not limited, but each player must have a parent sign the roster/release form prior to playing.
Team Contact Information:
Name ____________________________________________________________________________________
Address __________________________________________________________________________________
City/State/Zip______________________________________________________________________________
Ph. ( ________ )__________________ Email Address___________________________________________
CELL PHONE: (_______) ____________________
Team Fee $250
TOTAL PAYMENT: __________ DATE RECEIVED:_________
IMPORTANT NOTE: Enrollment is limited. Full and final payment is due at the time of registration.
(Make check payable to “All Star Sports Arena”) DOES NOT INCLUDE UNIFORMS
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
Visit Allstarsportsarena.com for any & all new information on leagues!!!
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 a legal guardian must read the release and sign the roster prior to the player playing.)
SCHOOL: ______________________________
TEAM NAME: ___________________________ AGE GROUP: _____________ BOYS : GIRLS or Both
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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PLAYER NAME |
BIRTHDATE |
GUARDIAN SIGNATURE |
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Please submit your roster prior to your first game