FALL 2010 YOUTH TEAM SOCCER REGISTRATION
(6 Saturday games)
Registration Due: 9/13/10 First Game 9/18/10
Team Name: _______________________________________________
Circle Team Age Group and Gender:
o Boys o Girls o Coed
(Age group needs to reflect age of oldest player on the team)
LEAGUES: U5 (8/1/05– 7/31/06) U6 (8/1/04 – 7/31/05) U8 (8/1/02 – 7/31/04)
U10 (8/1/00-8/31/02) U12 (8/01/98-8/31/00)
· U5 and U6 play 3v3 on half a field. U8 & up plays 6v6 on the full field.
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Cost with 6 practice sessions on 1/2 field (limited opportunities) |
$400 |
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Cost without practice sessions (i.e. teams practice elsewhere) |
$250 |
Team Contact Information:
Name ____________________________________________________________________________________
Address __________________________________________________________________________________
City/State/Zip______________________________________________________________________________
Ph. ( ________ )__________________ Email Address___________________________________________
CELL PHONE: (_______) ____________________
Roster sizes are not limited, but each player must have a parent sign the roster/release form prior to playing.
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)
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
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.)
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.
