Souderton Area Soccer

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2009

SOUDERTON AREA SOCCER ASSOCIATION

SISL'R SLAM INTRAMURAL /INTRAMURAL SELECT SOCCER TOURNAMENT

EPYSA Approved

REGISTRATION FORM

NAME OF YOUR LEAGUE OR CLUB:  __________________________________

TEAM NAME:  ______________________________________________________

TEAM COLORS:  ___________________________________________________


AGE GROUP & DIVISION:        

                                Boys_____                                         Girls_____


                     U8   _____       U14 _____                 U8   _____         U14 _____

                     U10 _____       U16 _____                  U10 _____         U16 _____

                     U12 _____       U19 _____                 U12 _____         U19 _____


COACH NAME:  ____________________________________________________

PHONE NUMBER:  __________________   Cell Phone: _____________________     

E-Mail: ____________________________

COACH SIGNATURE:  ________________________________________________

CLUB OFFICER'S SIGNATURE:  _______________________________________

TITLE OF CLUB OFFICER:  ___________________________________________

PHONE NUMBER:  __________________        E-Mail:  _____________________


Terms and Conditions

... All teams will be responsible for their own insurance and medical release forms.   In case of an accident or injury to, from or during the tournament, Souderton Intramural Soccer League or Souderton Area Soccer Association will not be held liable.

... Please enclose your check for $200.00 per team made payable to SISL.

... In the event of a team or tournament cancellation, a $25.00 fee will be assessed for administrative cost.

... Application, roster and check must be received by October 24, 2009 for the girl's tournament and October 31, 2009 for the boy's tournament. 

 

Send to:

 Ken Martin

Tournament Director                          

2362 Hill Road

Perkiomenville, PA. 18074                                                  

215-234-0193                                                                        

sislrslam@yahoo.com